预防医学2024,Vol.36Issue(9) :813-816.DOI:10.19485/j.cnki.issn2096-5087.2024.09.018

2007-2022年东城区心血管疾病发病趋势

Trends in incidence of cardiovascular disease in Dongcheng District from 2007 to 2022

周国营 邢丽丽 苏颖 刘宏杰 刘赫 王迪 薛锦峰 戴威 汪静 杨兴华
预防医学2024,Vol.36Issue(9) :813-816.DOI:10.19485/j.cnki.issn2096-5087.2024.09.018

2007-2022年东城区心血管疾病发病趋势

Trends in incidence of cardiovascular disease in Dongcheng District from 2007 to 2022

周国营 1邢丽丽 2苏颖 2刘宏杰 2刘赫 2王迪 2薛锦峰 3戴威 3汪静 3杨兴华4
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作者信息

  • 1. 北京市东城区疾病预防控制中心慢病科,北京 100009;首都医科大学公共卫生学院,北京 100069
  • 2. 北京市东城区疾病预防控制中心慢病科,北京 100009
  • 3. 北京市东城区疾病预防控制中心,北京 100009
  • 4. 首都医科大学公共卫生学院,北京 100069
  • 折叠

摘要

目的 分析2007-2022年北京市东城区居民心血管疾病(CVD)的发病趋势,为制定有针对性的防控措施提供依据.方法 通过北京市慢性疾病管理监测系统收集2007-2022年东城区急性冠脉综合征、不稳定型心绞痛、急性冠心病和急性心肌梗死4种亚型CVD发病资料,计算发病率并采用2020年第七次全国人口普查数据进行标化,采用平均年度变化百分比(AAPC)分析CVD发病趋势.结果 2007-2022年东城区居民CVD发病177 964例,粗发病率为1 144.83/10万,标化发病率为1 141.41/10万;急性冠脉综合征、不稳定型心绞痛、急性冠心病和急性心肌梗死粗发病率分别为434.45/10万、277.04/10万、272.87/10万和160.47/10万;CVD和4种亚型CVD粗发病率呈上升趋势(AAPC=4.467%、4.576%、5.937%、4.070%和2.353%,均P<0.05),其中不稳定型心绞痛上升速度较快.男性CVD粗发病率为1 413.08/10万,高于女性的884.68/10万(P<0.05).2007-2022年男性、女性CVD粗发病率均呈上升趋势(均P<0.05),男性(AAPC=5.552%)上升速度快于女性(AAPC=2.905%).CVD粗发病率随年龄增长呈上升趋势(P<0.05),其中急性冠心病粗发病率在65岁后上升幅度较大,由65~<75岁组的477.58/10万上升至≥85岁组的2 888.02/10万.结论 2007-2022年东城区CVD及4种亚型CVD粗发病率均呈上升趋势,不稳定型心绞上升速度较快,男性和高龄人群是CVD早期筛查与综合干预的重点人群.

Abstract

Objective To analyze the trends in incidence of cardiovascular disease(CVD)among residents in Dongcheng District,Beijing Municipality from 2007 to 2022,so as to provide the evidence for formulating targeted pre-vention and control measures.Methods Data of the incidence of four subtypes of CVD,including acute coronary syn-drome,unstable angina pectoris,acute coronary heart disease,and acute myocardial infarction,in Dongcheng District from 2007 to 2022 were collected through the Beijing Chronic Disease Management Monitoring System.The incidence rates were calculated and standardized using the data of the seventh national population census in 2020.The trends in incidence of CVD were analyzed using average annual percent change(AAPC).Results A total of 177 964 cases of CVD were reported in Dongcheng District from 2007 to 2022,with a crude incidence rate of 1 144.83/105 and a stan-dardized incidence rate of 1 141.41/105.The crude incidence rates of acute coronary syndrome,unstable angina pecto-ris,acute coronary heart disease and acute myocardial infarction were 434.45/105,277.04/105,272.87/105 and 160.47/105,respectively.The crude incidence rates of CVD and the four subtypes showed an upward trend(AAPC=4.467%,4.576%,5.937%,4.070%and 2.353%,all P<0.05),with unstable angina pectoris rising more rapidly.The crude inci-dence rate of CVD in males was higher than that in females(1 413.08/105 vs.884.68/105,P<0.05),and both of them showed an upward trend from 2007 to 2022(both P<0.05),with a faster increase in males than in females(AAPC=5.552%vs.2.905%).The crude incidence rate of CVD increased with age(P<0.05),and the crude incidence rate of acute coronary heart disease increased significantly after the age of 65 years,rising from 477.58/105 at the age of 65-<75 years to 2 888.02/105 at the age of 85 years and above.Conclusions The crude incidence rates of CVD and its four subtypes showed an upward trend in Dongcheng District from 2007 to 2022,with unstable angina pectoris rising more rapidly.Males and older adults are key populations for early screening and comprehensive intervention for CVD.

关键词

心血管疾病/发病率/急性冠脉综合征/不稳定型心绞痛/急性冠心病/急性心肌梗死

Key words

cardiovascular disease/incidence/acute coronary syndrome/unstable angina pectoris/acute coronary heart dis-ease/acute myocardial infarction

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出版年

2024
预防医学
浙江省预防医学会

预防医学

CSTPCD
影响因子:1.002
ISSN:2096-5087
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