本文選題：腦血管疾病　切入點：心血管疾病　出處：《蘇州大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：了解昆山市2001～2012年戶籍居民心腦血管疾病死亡的分布特征及其對居民健康的危害程度，為進一步制定心腦血管疾病防治的策略提供科學(xué)依據(jù)。 方法：收集昆山市2001～2012年戶籍居民心腦血管疾病的死亡資料，以ICD-10進行分類編碼。采用SPSS16.0軟件分析心腦血管疾病死亡率、標(biāo)化死亡率、年齡別死亡率、死亡構(gòu)成比、死亡性別比、潛在減壽年數(shù)(PYLL)、標(biāo)化減壽年數(shù)(SPYLL)、減壽率和平均減壽年數(shù)(AYLL)等指標(biāo)。 結(jié)果：1.2001～2012年，，昆山市累計報告心腦血管疾病死亡病例13254例，其中男性6517例，女性6737例。2001～2012年，昆山市戶籍人口心血管疾病死亡率總體呈波動性變化趨勢，腦血管疾病死亡率總體呈波動性下降趨勢，但是，心腦血管疾病總體死亡率一直維持在較高水平；心腦血管死亡率隨年齡增長呈幾何級數(shù)增高 2.2001～2012年，昆山市心血管疾病年均死亡率為65.81/10萬(其中男性為63.53/10萬、女性為68.09/10萬)，標(biāo)化死亡率為34.01/10萬(男性為33.89/10萬、女性為34.31/10萬)，男女2001～2012年心血管疾病死亡率比較，經(jīng)X2檢驗，P0.05，差異有統(tǒng)計學(xué)意義。腦血管疾病年均死亡率為100.75/10萬(其中男性為100.58/10萬、女性為100.92/10萬)，標(biāo)化死亡率為53.76/10萬(男性為54.78/10萬、女性為52.92/10萬)，男女2001～2012年腦血管疾病死亡率比較，經(jīng)X2檢驗，P=0.880，差異無統(tǒng)計學(xué)意義。 3.2001～2012年，心血管疾病前5位死因順位排序依次為：肺源性心臟病、其他冠心病、急性心肌梗死、高血壓性心臟病、慢性風(fēng)濕性心臟病。 4.2001～2012年，心腦血管疾病死亡率隨年齡的增長而上升，心腦血管死亡病例主要集中在45-64歲組和65歲以上年齡組，心、腦血管疾病45歲以上年齡組死亡分別占全部死亡的96.48%和98.32%，尤以65歲以上年齡組死亡人數(shù)最多，分別占87.89%和86.59%。死亡率至85歲～組達到高峰，心血管死亡率為2674.58/l0萬，腦血管死亡率為2536.82/l0萬。 5.女性心血管疾病死亡率高于男性，差異有統(tǒng)計學(xué)意義；而腦血管疾病經(jīng)統(tǒng)計，男女差異無統(tǒng)計學(xué)意義。 6.2001-2012年昆山市男性居民心血管疾病、腦血管疾病潛在減壽年數(shù)，潛在減壽率(PYLL率)、標(biāo)化PYLL(SPYLL)、標(biāo)化PYLL率(SPYLL率)和平均減壽年數(shù)等指標(biāo)均高于女性。在心血管疾病中，急性心肌梗死所造成的疾病負(fù)擔(dān)最重,PYLL和PYLL率分別為4136人年、0.520‰。 結(jié)論：心腦血管疾病已成為昆山市戶籍居民的主要死亡原因，全社會必須重視心腦血管疾病的預(yù)防。同時，應(yīng)重點加強對60歲以上這部分年齡組人群心腦血管疾病的控制和預(yù)防。
[Abstract]:Objective: to investigate the distribution of cardiovascular and cerebrovascular diseases in residents of Kunshan City from 2001 to 2012 and to provide scientific basis for the prevention and treatment of cardiovascular and cerebrovascular diseases. Methods: the death data of cardiovascular and cerebrovascular diseases in residents of Kunshan City from 2001 to 2012 were collected and classified and coded by ICD-10. The mortality rate of cardiovascular and cerebrovascular diseases, standardized mortality, age-specific mortality and death composition ratio were analyzed by SPSS16.0 software. The sex ratio of death, the number of years of potential life lost (PYLLL), the standardized number of years of life lost (SPYLLL), the rate of life reduction and the average number of years of life lost (AYLLL) were measured. Results from 2001 to 2012, 13254 death cases of cardiovascular and cerebrovascular diseases were reported in Kunshan City, including 6517 males and 6737 females. The mortality rate of cardiovascular diseases in Kunshan population showed a fluctuating trend. The mortality rate of cerebrovascular diseases is fluctuating, but the overall mortality rate of cardiovascular and cerebrovascular diseases has been maintained at a relatively high level, and the mortality rate of cardiovascular and cerebrovascular diseases increases in geometric progression with the increase of age. From 2001 to 2012, the average annual mortality rate of cardiovascular disease in Kunshan City was 65.81 / 100 million (63.53% / 100 000 for males, 680.09% / 100,000 for females, 34.01% / 100,000 for females (33.89% / 100,000 for males and 34.31 / 10 000 for females), and a comparison of cardiovascular mortality rates between 2001 and 2012 for males and females. The average annual mortality rate of cerebrovascular diseases is 100.75% / 100 000 (male 100.58% / 100 000, female 100.92% 100,000, standardized mortality 53.76% 100 000, male 54.78% 100, 000, male 54.78% 100, 000, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05, P 0.05). The mortality rate of cerebrovascular diseases was 52.92 / 100 000% in women. There was no significant difference between male and female in the mortality of cerebrovascular diseases from 2001 to 2012. The X2 test showed that the mortality of cerebrovascular diseases was 0.880%. 3. From 2001 to 2012, the first five causes of death of cardiovascular disease ranked in order: pulmonary heart disease, other coronary heart disease, acute myocardial infarction, hypertension heart disease, chronic rheumatic heart disease. 4. From 2001 to 2012, the mortality rate of cardiovascular and cerebrovascular diseases increased with the increase of age. Cerebrovascular diseases over 45 years old group accounted for 96.48% and 98.32% of all deaths, especially over 65 years old group, accounted for 87.89% and 86.599.The mortality reached the peak in 85 years old group, and the cardiovascular death rate was 10 000. The cerebrovascular death rate was 2536.82 / 10 million. 5. The mortality rate of cardiovascular disease in female was higher than that in male, the difference was statistically significant, but there was no significant difference between male and female in cerebrovascular disease. 6. The number of years of potential life lost and the rate of potential life loss of male residents in Kunshan City from 2001 to 2012 were higher than those of women. The disease burden caused by acute myocardial infarction (AMI) was the heaviest of Pyll and PYLL, respectively. The rates of Pyll and PYLL were 0. 520 鈥

本文編號：1645393