2013-2016年深圳市南山区急性心肌梗死发生的流行特征

目的 了解深圳市南山区近年来急性心肌梗死(Acute Myocardial Infarction,AMI)的流行特征,为制定有针对性的防治策略提供依据。方法 利用深圳市急性心肌梗死系统南山区2013-2016年监测数据,分析近年来深圳市南山区急性心肌梗死的发病及死亡情况。结果 2013-2016年深圳市南山区AMI新发2 054例,死亡343例。男性、女性AMI发病率分别为60.85/10万和20.47/10万(标化发病率分别为194.89/10万、88.89/10万)。男性、女性AMI的死亡率分别为9.46/10万、4.22/10万(标化死亡率分别为33.57/10万、20.17/10万)。男性AMI发病平均年龄为(60.43±14.67)岁,女性为(71.75±12.78)岁。男性死亡平均年龄为(63.44±17.71)岁,女性为(77.43±12.86)岁。男性、女性AMI发病率、死亡率均随年龄增高而增加。结论 南山区2013-2016年AMI发病率、死亡率低于全国水平,AMI总体发病率趋于稳定趋势,死亡率呈下降趋势。男性AMI发病率和死亡率均高于女性。

Epidemiological characteristics of acute myocardial infarction in Nanshan District of Shenzhen,2013-2016

Objective To explore the prevalence of acute myocardial infarction (AMI) in Nanshan District of Shenzhen and provide a theoretical reference for drafting targeted strategies.Methods Data of the incidence and the mortality of AMI from Shenzhen AMI surveillances system between 2013 and 2016 were used to analyze the AMI morbidity and mortality status in Shenzhen Nanshan District.Results A total of 2 054 new cases and 343 deaths were reported from 2013 to 2016 in Shenzhen Nanshan District.The AMI morbidity of male and female were 60.85 and 20.47 per 100,000,respectively (age-standardized morbidity:194.89 per 100,000 vs 88.89 per 100,000).The AMI mortality of male and female were 9.46 and 4.22 per 100,000,respectively (age-standardized mortality:33.57 per 100,000 vs 20.17 per 100,000).The mean ages of AMI onset were (60.43±14.67) years old in males and (71.75±12.78) years old in females.The mean ages of AMI at death were (63.44±17.71) years old in males and (77.43±12.86) years old in females.The morbidity and mortality increased with age both in males and females.Conclusion During 2013 to 2016,the morbidity and mortality of AMI were lower than national level,which indicated that the overall incidence of AMI tended to be stable and the mortality presented a downtrend.Both the morbidity and mortality of AMI in males were higher than that in females.