| 杜福昌,王海燕,姚才良,朱杰,钱德音,莫宏智,王敬良.江苏省监测人群1983~1987年动脉粥样硬化性心血管病发病动态的城乡对比分析[J].Chinese journal of Epidemiology,1991,12(6):350-353 |
| 江苏省监测人群1983~1987年动脉粥样硬化性心血管病发病动态的城乡对比分析 |
| Comparative Analysis of the Trends of Atherosclerotic Cardiovascular Diseases in Rural and Urban Monitored Population of Jiangsu Province |
| Received:March 16, 1990 Revised:May 19, 1990 |
| DOI： |
| KeyWord: 动脉粥样硬化性心血管病 冠心病及脑卒中急性事件 监测人群 |
| English Key Word: Atherosclerotic Cardiovascular Disease Coronary and Stroke Events Monitoring Population |
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| Abstract: |
| 1983~1987年参照WHO Monica方案对江苏省42万城乡自然人群进行冠心病急性事件(Coronary event)、脑卒中发病及其防治效果的连续五年同步监测,结果发现南京市区监测人群冠心病急性事件平均年标化发生率为18.6/10万,脑卒中为103.1/10万,均较海门农村为高。在人口死因构成中市区冠心病及脑卒中仅次于恶性肿瘤而居第二位,农村则仅占第四位。市区人群通过1985年以来的高血压防治,冠心病及脑卒中的年死亡率已有下降,而尚未广泛开展防治的农村人群则其年发病率、死亡率及脑卒中的急性期病死率并无明显改变。 |
| English Abstract: |
This study was done on acute myocardial infarction (AMI), coronary sudden death(CSD)and stroke in 424 318 population in Hai Men county and Nanjing city by registration according to WHO "Monica Project" from 1983 to 1987.
The results showed that the age-adjusted average annual incidence of coronary events and stroke were 18.6/100 000 and 103.1/100000, respectively, in a resident population aged 25~74 for 135 429 year-persons in Nanjing.They were significantly higher than 8.4/100 000 and 61.6/100 000 in a group of peasants for 1 040 127 year-persons in Hai Men county of Jiangsu province (u=2.1, 4.38, P<0.05).The age-adjusted average annual mortality of AMI was also higher in Nanjing(4.7 vs. 0.3/100 000; u=4.6, P<0.01) than in Hai Men.
Following the effectiveness of hypertensive community control in the monitored population in Nanjing from 1985 to 1987, the mortality of AMI, CSD and stroke decreased significantly and the annual incidence of stroke was also tended to lower.Both the annual incidence of coronary and stroke events and the fatality of stroke at acute stage were still unchanged from 1983 to 1987 owing to the hyertensive community control being delayed in rural population in Hai Men. |
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