我国2002-2016年间急性心肌梗死死亡趋势分析
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摘要
目的分析中国居民2002-2016年急性心肌梗死(acute myocardial infarction,AMI)死亡率水平及变化趋势。方法汇总分析中国居民2002-2016年AMI死亡率数据,应用Joinpoint模型分析各人群和各年龄组AMI死亡率变化的时间趋势。结果近15年间,我国AMI标化死亡率呈上升态势。2002-2007年AMI标化率城市大于农村,2007年后农村大于城市。城市男性、城市女性、农村男性和农村女性的AMI标化率在2002-2016年间均呈增长趋势,平均年度变化百分比(average annual percent change,AAPC)分别为5. 6%、6. 1%、9. 4%和9. 9%。青中年男性和高龄女性AMI死亡率增长较快。结论 2002-2016年间,我国居民AMI死亡率呈上升趋势,其中农村居民上升迅速。城乡地区青中年男性和高龄女性AMI死亡均呈增长趋势。
Objective To analyze epidemical features and time trend of acute myocardial infarction( AMI) deaths in China from 2002 to 2016. Methods AMI mortality data for Chinese residents from2002 to 2016 were collected and the Joinpoint model was used to analyze the time trends in AMI mortality of various populations and different age groups. Results In the past 15 years,the age standardized mortality rate of AMI in China increased rapidly. In 2002-2007,AMI mortality of urban population were higher than that in the rural,and rural rates exceeding urban rates after 2007. The age standardized rates of AMI in urban males,urban females,rural males,and rural females increased from 2002 to 2016. The average annual percentage change( AAPC) was 5. 6%,6. 1%,9. 4%,and 9. 9%,respectively. The age-specific mortality rates increased rapidly among young middle-aged male and elder female. Conclusions The mortality rate of AMI increased from 2002 to 2016,among which the AMI mortality rate in rural residents was increasing rapidly. The death of AMI in urban and rural areas among young middle-aged male and elder female showed a significant growth trend.
Objective To analyze epidemical features and time trend of acute myocardial infarction( AMI) deaths in China from 2002 to 2016. Methods AMI mortality data for Chinese residents from2002 to 2016 were collected and the Joinpoint model was used to analyze the time trends in AMI mortality of various populations and different age groups. Results In the past 15 years,the age standardized mortality rate of AMI in China increased rapidly. In 2002-2007,AMI mortality of urban population were higher than that in the rural,and rural rates exceeding urban rates after 2007. The age standardized rates of AMI in urban males,urban females,rural males,and rural females increased from 2002 to 2016. The average annual percentage change( AAPC) was 5. 6%,6. 1%,9. 4%,and 9. 9%,respectively. The age-specific mortality rates increased rapidly among young middle-aged male and elder female. Conclusions The mortality rate of AMI increased from 2002 to 2016,among which the AMI mortality rate in rural residents was increasing rapidly. The death of AMI in urban and rural areas among young middle-aged male and elder female showed a significant growth trend.
引文
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[20]伏蕊,杨跃进,窦克非,等.中国不同年龄段急性心肌梗死患者临床症状和诱发因素的差异分析[J].中华心血管病杂志,2016,44(4):298-302.DOI:10.3760/cma.j.issn.0253-3758.2016.04.005.Fu R,Yang YJ,Dou KF,et al.Age-related differences in the clinical symptoms and triggering factors among Chinese patients with acute myocardial infarction[J].Chin J Cardiol,2016,44(4):298-302.DOI:10.3760/cma.j.issn.0253-3758.2016.04.005.
[2]杨阿应,白亚娜,解芝洞,等.2001-2013年金昌队列人群冠心病死亡趋势及疾病负担研究[J].中华疾病控制杂志,2017,21(3):261-264,269.DOI:10.16462/j.cnki.zhjbkz.2017.03.011.Yang AY,Bai YN,Xie ZD,et al.The trend of coronary heart disease mortality and disease burden in Jinchang cohort from 2001to 2013[J].Chin J Dis Control Prev,2017,21(3):261-264,269.DOI:10.16462/j.cnki.zhjbkz.2017.03.011.
[3]Tunstall-Pedoe H,Kuulasmaa K,Mahonen M,et al.Contribution of trends in survival and coronary-event rates to changes in coronary heart disease mortality:10-year results from 37 WHO MONI-CA Project populations[J].Lancet,1999,353(9164):1547-1557.DOI:10.1016/S0140-6736(99)04021-0.
[4]Dégano IR,Salomaa V,Veronesi G,et al.Twenty-five-year trends in myocardial infarction attack and mortality rates,and case-fatality,in six European populations[J].Heart,2015,101(17):1413-1421.DOI:10.1136/heartjnl-2014-307310.
[5]Peeters A,Nusselder WJ,Stevenson C,et al.Age-specific trends in cardiovascular mortality rates in the Netherlands between 1980and 2009[J].Eur J Epidemiol,2011,26(5):369-373.DOI:10.1007/s10654-011-9546-9.
[6]Kim HJ,Fay MP,Feuer EJ,et al.Permutation tests for join point regression with applications to cancer rates[J].Stat Med,2000,19(3):335-351.
[7]董承章.经济预测原理与方法[M].大连:东北财经大学出版社,1992.Dong CZ.Principles and methods of economic forecasting[M].Dalian:Dongbei University of Finance and Economics Press,1992.
[8]Li J,Li X,Wang Q,et al.ST-segment elevation myocardial infarction in China from 2001 to 2011(the China PEACE-retrospective acute myocardial infarction study):a retrospective analysis of hospital data[J].Lancet,2015,385(9966):441-451.DOI:10.1016/S0140-6736(14)60921-1.
[9]Li Y,Wang DD,Ley SH,et al.Potential impact of time trend of life-style factors on cardiovascular disease burden in China[J].JAm Coll Cardiol,2016,68(8):818-833.DOI:10.1016/j.jacc.2016.06.011.
[10]Stevens W,Peneva D,Li JZ,et al.Estimating the future burden of cardiovascular disease and the value of lipid and blood pressure control therapies in China[J].BMC Health Serv Res,2016,10(16):175.DOI:10.1186/s12913-016-1420-8.
[11]万浩,李岩,刘静,等.北京青年急性冠心病事件院前死亡流行病学研究[J].中华内科杂志,2012,51(4):274-278.DOI:10.3760/cma.j.issn.0578-1426.2012.04.008.Wan H,Li Y,Liu J,et al.The epidemiology of out-of-hospital deaths due to acute coronary events in young Beijing adults[J].Chin J Intern Med,2012,51(4):274-278.DOI:10.3760/cma.j.issn.0578-1426.2012.04.008.
[12]Hu T,Mao Z,Liu Y,et al.Smoking,standard of living,and poverty in China[J].Tob Control,2005,14(4):247-250.DOI:10.1136/tc.2004.010777.
[13]Li W,Gu H,Teo KK,et al.Hypertension prevalence,awareness,treatment,and control in 115 rural and urban communities involving 47 000 people from China[J].J Hypertens,2016,34(1):39-46.DOI:10.1097/HJH.0000000000000745.
[14]刘静,赵冬,姚崇华,等.1984-1993年北京城乡心血管病危险因素变化趋势的比较[J].中华心血管病杂志,2000,28(4):308-311.DOI:10.3760/j:issn:0253-3758.2000.04.019.Liu J,Zhao D,Yao CH,et al.Trends in CVD risk factors in urban and rural areas of Beijing during 1984-1993[J].Chin J Cardiol,2000,28(4):308-311.DOI:10.3760/j:issn:0253-3758.2000.04.019.
[15]郑昕,李建军,杨跃进,等.近15年间急性心肌梗死患者的性别年龄演变趋势[J].中国循环杂志,2010,25(6):441-444.DOI:10.3969/j.issn.1000-3614.2010.06.011.Zheng X,Li JJ,Yang YJ,et al.Gender and age difference in trends of acute myocardial infarction events in recent 15 years[J].Chin Circul J,2010,25(6):441-444.DOI:10.3969/j.issn.1000-3614.2010.06.011.
[16]李镒冲,刘世炜,王丽敏,等.1990年与2010年中国慢性病主要行为危险因素的归因疾病负担研究[J].中华预防医学杂志,2015,49(4):303-308.DOI:10.3760/cma.j.issn.0253-9624.2015.04.005.Li YC,Liu SW,Wang LM,et al.Burden of disease attributable to main behavioral risk factor of chronic disease inactivity in China,1990 and 2010[J].Chin J Prev Med,2015,49(4):303-308.DOI:10.3760/cma.j.issn.0253-9624.2015.04.005.
[17]徐伟,陈叶纪,谢建嵘,等.2013-2014年安徽省成人吸烟和戒烟行为状况分析[J].中华疾病控制杂志,2017,21(5):434-438.DOI:10.16462/j.cnki.zhjbkz.2017.05.002.Xu W,Chen YJ,Xie JR,et al.Analysis on smoking and smoking cessation behaviors among adults from Anhui Province in 2013-2014[J].Chin J Dis Control Prev,2017,21(5):434-438.DOI:10.16462/j.cnki.zhjbkz.2017.05.002.
[18]Stampfer MJ,Colditz GA.Estrogen replacement therapy and coronary heart disease:a quantitative assessment of the epidemiologic evidence[J].Prev Med,1991,20(1):47-63.DOI:10.1016/0091-7435(91)90006-P.
[19]Azegami M,Hongo M,Yanagisawa S,et al.Characteristics of metabolic and lifestyle risk factors in young Japanese patients with coronary heart disease:a comparison with older patients[J].Int Heart J,2006,47(3):343.DOI:10.1536/ihj.47.343.
[20]伏蕊,杨跃进,窦克非,等.中国不同年龄段急性心肌梗死患者临床症状和诱发因素的差异分析[J].中华心血管病杂志,2016,44(4):298-302.DOI:10.3760/cma.j.issn.0253-3758.2016.04.005.Fu R,Yang YJ,Dou KF,et al.Age-related differences in the clinical symptoms and triggering factors among Chinese patients with acute myocardial infarction[J].Chin J Cardiol,2016,44(4):298-302.DOI:10.3760/cma.j.issn.0253-3758.2016.04.005.