Abstract:

Objective To analyze the epidemiological characteristics of acute cardio-cerebrovascular events in Jing'an District of Shanghai in 2018. Methods The data of incidence of acute cardio-cerebrovascular events from Jing'an District registration residents acute cardio-cerebrovascular events monitoring system in 2018 were collected, to analyze the epidemiological characteristics of acute cardio-cerebrovascular events. Results In 2018, the incidence of acute cardiovascular events in Jing'an District was 72.45/105, and the standardized incidence was 40.89/105. The incidence of acute cerebrovascular events was 753.03/105, and the standardized incidence was 353.68/105, of which the incidence of stroke was 420.31/105, and the standardized incidence was 208.36/105; the incidence of lacunar cerebral infarction was 251.48/105, and the standardized incidence was 107.05/105; the incidence of TIA was 81.25/105 and the standardized incidence was 38.28/105. The age-adjusted incidence of acute cardiovascular (66.18/105 vs 16.07/105, P <0.001) and cerebrovascular (410.09/105 vs 299.03/105, P <0.001) events in male were higher than that in female. Of cerebrovascular events, the age-adjusted incidence of stroke in male was higher than that in female (266.27/105 vs 151.35/105, P <0.001), and there were no difference in the incidence of lacunar cerebral infarction (P =0.733) and TIA (P =0.906) between male and female. The difference of the incidence of cardio-cerebrovascular events in different age groups were statistically significant (all P <0.001). The highest incidence of cardio-cerebrovascular events in one year was in November, and the lowest in September. Conclusions The incidence of cardio-cerebrovascular diseases in Jing'an District of Shanghai is grim. Multiple risk factors should be comprehensively controlled and effective measures should be taken to strengthen disease prevention and control.

Key words: Acute cardio-cerebrovascular events; Epidemiological characteristics; Incidence;Monitoring

摘要：

目的 通过分析2018年上海市静安区心脑血管急性事件的流行病学特征，为心脑血管疾病防控提 供参考。 方法 收集静安区2018年心脑血管急性事件监测系统中户籍居民发病资料，分析静安区心脑血管急 性事件的流行病学特征。 结果 2018年，静安区心血管急性事件报告发病率为72.45/10万，标化发病率为40.89/10万。脑血管急 性事件报告发病率为753.03/10万，标化发病率为353.68/10万。其中，卒中报告发病率为420.31/10万，标 化发病率为208.36/10万；腔隙性脑梗死报告发病率为251.48/10万，标化发病率为107.05/10万；TIA报告 发病率为81.25/10万，标化发病率为38.28/10万。心血管急性事件男性标化发病率高于女性（66.18/10万 vs 16.07/10万，P＜0.001）；脑血管急性事件男性标化发病率高于女性（410.09/10万 vs 299.03/10万， P＜0.001），其中，卒中男性标化发病率高于女性（266.27/10万 vs 151.35/10万，P＜0.001），腔隙性脑 梗死（P =0.733）、TI A（P =0.906）标化发病率男、女性差异没有统计学意义。不同年龄段的心脑血管 事件发病率差异具有统计学意义（均P＜0.001）。心脑血管事件发病报告例数最高的是11月，报告例数 最低的是9月。 结论 静安区心脑血管疾病流行形势严峻，应综合控制多重危险因素，采取有效措施加强防控工作。

关键词: 心脑血管急性事件; 流行病学特征; 发病率; 监测