摘要
目的 了解大连市居民30多年来心脏病死亡流行趋势,为制定预防控制策略和措施提供科学依据。方法 利用大连市居民死因监测结果,对不同性别、年龄、年代的心脏病死亡水平进行分析。结果 1981-2013年心脏病粗死亡率波动在72.99/10万~177.99/10万之间,呈上升趋势（t=6.08,P〈0.001）;标化死亡率波动在65.38/10万~139.74/10万,呈下降趋势（t=-9.48,P〈0.001）。人口老龄化是粗死亡率上升的主要原因。心脏病占总死亡的构成比13.44%~24.56%。从80、90年代的第3位死因上升到目前的第2位死因。男女死亡率均随年龄的增长而增高;男性粗死亡率大于女性（X^2=49.52,P〈0.001）。结论 心脏病已经成为威胁大连市居民健康的主要疾病,在老年人口比例日益增加的今天,应加强心脏病的综合防控措施。
Objective To investigate the trend of deaths of heart diseases （HD） in Dalian during the last 30 years, in order to provide scientific basis for the control of HD. Methods This study was based on surveillance data in Dalian. The data of analysis included sex, age and the decade of the century. Results From 1981 to 2013, the age-adjus- ted mortality （AAM） decreased obviously （ t = - 9.48, P 〈 0. 001 ） and fluctuated from 65.38 /100 000 to 139.74/ 100 000, however, because of aging of the population, the crude death rate （CDR） of HD increased obviously（t = 6.08, P 〈0. 001 ） and fluctuated from 72.99 /100 000 to 177. 99 /100 000. HD accounted for 13.44%-24. 56% of the all deaths. At the end of the last century, HD was the third cause of deaths, but non reached to the second. The mortality of male was higher than that the female on CDR （x^2 = 49. 52,P 〈 0. 001 ）. With the age increased, both CDR and AAM in- creased. Conclusions HD has been one of the primary causes of deaths, in Dalian residents and much attention should be paid for the prevention and control of HD.
出处
《中华疾病控制杂志》
CAS
CSCD
北大核心
2015年第1期20-23,共4页
Chinese Journal of Disease Control & Prevention
基金
大连市医学卫生科学研究计划(2007-61)
关键词
心脏病
死亡率
死因顺位
趋势分析
Heart diseases
Mortality
Cause of death
Trend analysis
