北京部分地区15年心脑血管病死亡率变化趋势

目的：探讨北京地部分地区1984－1998年影响人群健康的主要疾病及变化趋势的方向、强度。方法：采用北京部分地区心脑血管病人群监测（MONICA研究）资料，分析主要疾病构成，心血管病死亡率（年龄标化率）；用回归分析的方法计算心血管病死亡率的年均变化率。结果1984－1998年心脑血管病死亡昆北京地区人群第1位的死亡原因（占总死亡人数的46．0％），第2位死因为癌症（占总死亡人数的26．5％）；本人群冠心病死亡比例15期间有显著增加的趋势（年均0．52％）本人群总死亡率（年均－2．9％）、心脑血管病死亡率呈上升趋势，但差异无显著性，结心血管病为人群经1位死亡原因，冠心病死亡率呈上升的趋势，人群心血管病的预防已成为当务之急。

Trend of changes in mortality of cardiovascular diseases in some areas of Beijing during 1984 to 1998

Objective To understand the main causes of deaths affecting population health and the trend of mortality of cardiovascular disease (CVD) in Beijing area during 1984 to 1998. Methods Monitoring data for cardiovascular diseases in some areas of Beijing during 1984 to 1998 were collected from MONICA project and used to analyze the distribution of disease, mortality caused by cardiovascular diseases and its age adjusted mortality Yearly average change in cardiovascular disease specific mortality was calculated with regression analysis. Results Cardiovascular diseases specific mortality ranked the first place of the causes of deaths in Beijing population during 1984 to 1998, accounting for 46 0% of the total deaths Cancer ranked the second, accounting for 26 5% of the total Overall mortality, cardiovascular specific mortality and cerebro specific mortality all lowered significantly during the past 15 years, with yearly average reductions of 2 9%, 2 7% and 3 5%, respectively. Mortality of coronary heart disease significantly rose. Conclusions Cardiovascular disease was the top cause of death in Beijing population during 1984 to 1998 Mortality of coronary heart disease significantly rose in the past 15 years It is a pressing matter of the moment to prevent cardiovascular diseases in the population