2015 - 2016年郑州市居民冠心病监测数据分析

目的 了解郑州市2015 - 2016年户籍居民冠心病发病死亡情况。方法 根据河南省慢性病监测管理系统收集的郑州市户籍居民冠心病发病监测数据，对2年间郑州市居民冠心病发病和死亡情况进行分析。数据库的建立基于Excel2010软件，SPSS19.0统计软件用于描述性分析。结果 郑州市2015 - 2016年报告户籍居民冠心病发病22 259例，死亡13 513例，户籍人口发病率和死亡率为分别为152.75/10（标化率90.21/10万）和92.89/10万（标化率65.16/10万）。相比于2015年（122.91/10万），2016年全市监测人群冠心病粗发病率上升至182.58/10万，粗死亡率由88.83/10万上升至96.94/10万。女性发病率、死亡率低于男性。60岁以上年龄组发病率和死亡率高于60岁以下年龄组。在冠心病发病病例分型中，急性心肌梗死为主要的病例分型，占比92.08%。1月份发病最多（3 113例，发病率20.63/10万）最多。结论 监测年间郑州市户籍居民冠心病发病和死亡率随年龄增长呈明显上升趋势，男性急性发病率、死亡率高于女性。

Analysis of the monitoring data for acute coronary disease cases of Zhengzhou residents between 2015 and 2016

Objective To understand morbidity and mortality of the acute coronary disease of residents in Zhengzhou. Methods Henan Province Chronic Disease Surveillance System was used for data collection, and then all the acute coronary disease monitoring cases of residents in Zhengzhou were analyzed during 2015-2016. Excel 2010 software was used to establish database, and SPSS 19.0 was used to data analysis. Results During the two years, 22259 acute coronary disease cases were reported, and total cases of death was 13513, the morbidity and mortality rate of census register population respectively were 152.75/10,000 and 92.89/100,000, the standardized morbidity and mortality of coronary disease were 90.21/100,000 and 65.16/100,000 respectively. Compared with 2015, the incidence of acute coronary disease cases in Zhengzhou monitoring population in 2016 increased to 182.58/100,000, while the crude mortality rate was on the rise during 2015-2016, from 88.83/100,000 to 96.94/100,000. The female morbidity and mortality of coronary disease were lower than the male. The morbidity and mortality in group of above 60 years old were higher than that of younger age group. Case proportion for acute myocardial infarction was 92.08%. Conclusion The morbidity and mortality of census register population in 2015-2016 showed obvious increasing trends with the age. The morbidity and mortality of coronary disease in female were lower than that in male.