2014-2020年武汉市心脑血管事件发生特征分析
Characteristics of cardiovascular and cerebrovascular events in Wuhan,2014-2020
江瑞莲 1代娟2
作者信息
- 1. 武汉市江夏区疾病预防控制中心,湖北武汉 430200
- 2. 武汉市疾病预防控制中心
- 折叠
摘要
目的 了解武汉市心脑血管事件发病特征,为相关预防控制工作提供参考.方法 采用描述性流行病学方法对2014-2020年武汉市心脑血管事件资料进行回顾性分析.结果 2014-2020年武汉市心脑血管事件标化发病率298.39/10万,标化发病率逐年下降(P＜0.05);2014-2018年心脑血管事件发病率变化趋势无统计学意义(APC=-0.14％,P＞0.05),2018-2020年心脑血管事件发病率呈下降趋势(APC=-6.92％,P＜0.05);男性心脑血管事件发病率、标化发病率均高于女性(均P＜0.01),且女性发病率、标化发病率APC呈下降趋势(P＜0.05).男性心脑血管事件发病年龄(中位数为67.0岁)早于女性(中位数为72.0岁)(P＜0.01);心脑血管事件发病率随年龄增长呈上升趋势,在40岁之前处于较低水平,≥40岁后逐渐上升,至≥85岁达到峰值(3 436.63/10万);中心城区标化发病率低于远城区(P＜0.01),且中心城区的发病率、标化发病率APC均呈下降趋势(均P＜0.05),远城区发病率、标化发病率APC下降趋势不明显(P＞0.05).结论 2014-2018年武汉市居民心脑血管事件发病率呈平稳趋势,2018-2020年呈下降趋势,远城区、男性、老年人群应作为心脑血管事件发病的重点关注人群.
Abstract
Objective To understand the characteristics of cardiovascular and cerebrovascular events in Wuhan and provide the reference for related prevention and control work.Methods The data of cardiovascular and cerebrovascu-lar events in Wuhan from 2014 to 2020 were retrospectively analyzed by descriptive epidemiological methods.Results From 2014 to 2020,the standardized morbidity of cardiovascular and cerebrovascular events in Wuhan was 298.39/100 000,and the standardized morbidity decreased year by year(P＜0.05).There was no significant change in the morbidity of cardio-vascular and cerebrovascular events from 2014 to 2018(APC=-0.14％,P＞0.05),the morbidity of cardiovascular and cere-brovascular events showed a downward trend from 2018 to 2020(APC=-6.92％,P＜0.05).The morbidity and standardized morbidity of cardiovascular and cerebrovascular events in males were higher than those in females(P＜0.01),and the mor-bidity and standardized morbidity of APC in females showed a downward trend(P＜0.05).The onset age of cardiovascular and cerebrovascular events in males(median age 67.0 years)was younger than that in females(median age 72.0 years)(P＜0.01).The morbidity of cardiovascular and cerebrovascular events increased with age,and was at a low level be-fore 40 years old,and gradually increased after 40 years old,reaching a peak after 85 years old(3 436.63 per 100 000).The standardized morbidity in central urban area was lower than that in remote urban area(P＜0.01),and the APC of the morbid-ity and standardized morbidity in central urban area showed a decreasing trend(both P＜0.05),while in remote urban area showed no obvious decreasing trend(P＞0.05).Conclusions The morbidity of cardiovascular and cerebrovascular events in Wuhan showed a stable trend from 2014 to 2018,and a decreasing trend from 2018 to 2020.The population in the remote urban area,males,and the elderly should be the key groups of attention.
关键词
心脑血管事件/发生特征/趋势分析Key words
Cardiovascular and cerebrovascular events/Characteristics of morbidity/Trend analysis引用本文复制引用
出版年
2024
NETL
NSTL
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