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目的了解天津市某区的原发性高血压、脑卒中、冠心病急性发作事件在人群中的分布及发病趋势。方法根据天津市东丽区各医院展开的慢病管理系统2015年报告的心脑血管发病资料,结合公安分局户籍科提供的人口统计年报表对该区心脑血管疾病发病现状统计和分析。结果 2015年东丽区原发性高血压、脑卒中、冠心病急性发作事件报告发病率分别为306.61/10万、1 070.68/10万、97.48/10万,标化发病率分别为206.59/10万、614.75/10万、57.14/10万。该区原发性高血压、脑卒中、冠心病急性发作事件男女报告发病率之比分别为1.37:1、1.37:1、1.29:1。且发病率呈增长趋势的发病年龄集中在45~84岁,其中75~84岁为发病峰值。15~19岁即有高血压发病者。急性心肌梗死和脑梗死的发病年龄也提前到了20~24岁。结论心脑血管等慢性疾病的主要患病人群仍为中老年人,且男性心脑血管疾病的发病率明显高于女性,也更容易因冠心病导致猝死。
Objective To understand the distribution and trend of the incidence of essential hypertension, stroke and coronary heart disease in a certain area of Tianjin. Methods According to the data of cardiovascular and cerebrovascular diseases reported by 2015 in 2015 from the chronic disease management system of hospitals in Dongli District of Tianjin and the demographic statistical reports provided by the Household Registration Section of Public Security Bureau, the incidence and incidence of cardiovascular and cerebrovascular diseases in this area were statistically analyzed. Results The incidence rates of acute attacks of essential hypertension, stroke and coronary heart disease in Dongli District were 306.61 / 100,000, 1070.68 / 100000 and 97.48 / 100000 respectively in 2015, and the standardized incidence rates were 206.59 / 10 Million, 614.75 / 100,000, 57.14 / 100,000. The incidence of essential hypertension, stroke and coronary heart disease in men and women in this area were 1.37: 1, 1.37: 1, 1.29: 1, respectively. And the incidence of growth trends in the age of onset concentrated in the 45 to 84 years, of which 75 to 84 years of age as the peak incidence. 15 to 19 years of age who have hypertension. Acute myocardial infarction and cerebral infarction also reached the age of 20 to 24 years old. Conclusions The prevalence of cardiovascular and other chronic diseases is still the middle-aged and elderly people, and the incidence of cardiovascular disease in men is significantly higher than that of women and is also more likely to cause sudden death due to coronary heart disease.