作　　者： (秦奎）; (孟军）; (黄金梅）;

机构地区： 广西壮族自治区疾病预防控制中心慢性病防制所,广西南宁530028

出　　处： 《中国慢性病预防与控制》 2017年第8期578-581,共4页

摘　　要： 目的分析2015年广西壮族自治区急性心脑血管疾病发病及死亡情况,为制定心脑血管疾病综合防控策略提供参考。方法利用2015年广西壮族自治区急性心脑血管疾病国家级监测点的发病和死亡数据资料,通过计算发病率、死亡率,分析该地区监测点急性心脑血管疾病发病和死亡情况。采用SPSS 18.0统计软件进行χ2检验。结果 2015年广西壮族自治区国家级监测点居民急性心脑血管疾病发病率和死亡率分别为532.08/10万和144.33/10万,男性高于女性,差异有统计学意义(P<0.05),且随年龄的增加而逐渐上升,80~岁达最高峰;其中脑梗死发病率最高(410.41/10万),占总发病人数的77.13%,其次是脑出血(48.55/10万)、急性心肌梗死(44.43/10万),而死亡率最高的是脑出血(60.27/10万),其次是急性心肌梗死(48.46/10万)、脑卒中未特指脑出血或脑梗死(13.12/10万)。不同类型急性心脑血管疾病还存在着明显的城乡差异,城市居民急性心肌梗死发病率(96.68/10万)、死亡率(56.20/10万)均高于农村(分别为25.94/10万和45.72/10万),差异均有统计学意义(P<0.01);农村居民脑出血死亡率(72.25/10万)高于城市(26.43/10万),差异有统计学意义(P<0.01),不同地区发病率差异无统计学意义(P<0.05)。结论急性心脑血管疾病的防控应采取综合性预防控制措施,重点加强对老年、男性居民的健康教育和健康干预,针对不同类型的疾病采取不同的预防措施,同时要建立和完善心脑血管疾病监测系统,才能有效掌握发病、死亡流行趋势。 Objective To analyze the morbidity and mortality of acute cardio-cerebrovascular diseasesof Guangxi in 2015 and to provide the reference for comprehensive prevention and control strategy of cardio-cerebrovascular diseases. Methods The acute cardio-cerebrovascular disease monitoring data of Guangxi in 2015 were used to calculate the morbidity and mortality, and to analysis the attack and death conditions of acute cardio-cerebrovascular diseases in the region. The statistical analysis was performed by X^2 test, the used software was SPSS18.0. Results In 2015, the morbidity and mortality of acute cardio- cerebrovascular diseases in Guangxi were 532.08/10s and 144.33/105, the morbidity and mortality of males were significantly higher than those of females （P〈0.05）; and the morbidity and mortality of acute cardio-cerebrovascular diseases increased with age, which in over 80 years old group was the highest. The morbidity of cerebral infarction was the highest （410.41/105）, and was 77.13% of the total patients. Secondly, the morbidities of cerebral hemorrhage and myocardial infarction were 48.55/105 and 44.43/105. The mortality of cerebral hemorrhage was the highest （60.27/105）, then the mortalities of myocardial infarction and stroke unspecified were 48.46/105 and 13.12/105. There were significant differences between urban and rural areas for acute cardio-cerebrovascular diseases. The morbidity （96.68/10s） and mortality （56.20/105） of acute myocardial infarction in urban area were significantly higher than those （25.94/105 and 45.72/105） in rural area （P〈0.01）. The mortality （72.25/105） of cerebral hemorrhage in rural area was significantly higher than that （26.43/105.） in urban area （P〈0.01）. Conclusion The measures of comprehensive prevention and control should be taken for acute cardio-cerebrovascular disease. The health education and intervention for the elder and males should be conducted. The different preventive measures are performed for different diseases, and it i

关 键 词： 心脑血管疾病 监测 发病率 死亡率