目的 分析2016—2020年三明市三元区和永安市2个慢性病示范区户籍居民的急性心脑血管事件发病和死亡数据,探讨急性心脑血管事件对居民健康的危害情况。方法 根据2016—2020年三明市2个慢性病示范区的急性心脑血管事件监测数据和“人口死亡信息登记管理系统”中的死亡数据,分析居民急性心脑血管事件发病率和死亡情况。结果 监测人群急性心脑血管事件年平均发病率为579.91/10万,标化发病率为414.78/10万;其中冠心病急性事件和脑卒中发病率分别为91.88/10万和488.03/10万,标化发病率分别为64.06/10万和350.72/10万。男性急性心脑血管事件年平均发病率(发病率692.22/10万,标化发病率480.17/10万)高于女性(发病率570.76/10万,标化发病率341.02/10万),年平均发病率差异有统计学意义(χ²=542.059,P<0.001)。急性心脑血管事件的发病率均随年龄增加而升高,65岁以上人群发病率最高。监测人群急性心脑血管事件的年平均死亡率为93.00/10万,标化死亡率为59.31/10万,占总死亡15.53%。结论 急性心脑血管事件已成为三明市监测地区重要的公共卫生问题,发病以脑卒中为主,男性和65岁以上老人为重点防治人群,应采取必要的综合防治干预措施。

Objective To analyze the incidence and death data of acute cardiovascular and cerebrovascular events of registered residence residents in Sanyuan District and Yong'an City,two chronic disease demonstration areas,from 2016 to 2020,and explore the harm of acute cardiovascular and cerebrovascular events to residents' health. Methods According to the monitoring data of acute cardiovascular and cerebrovascular events in two chronic disease demonstration areas in Sanming City from 2016 to 2020 and the death data in the Population Death Information Registration Management System,the morbidity and mortality of acute cardiovascular and cerebrovascular events among residents were analyzed. Results The average annual incidence rate of acute cardiovascular and cerebrovascular events in the monitored population was 579.91/100 000,and the standardized incidence rate was 414.78/100 000.The incidence rate of acute events of coronary heart disease and stroke were 91.88/100 000 and 488.03/100 000,respectively,and the standardized incidence rate was 64.06/100 000 and 350.72/100 000,respectively.The annual average incidence rate of acute cardiovascular and cerebrovascular events in male (incidence rate 692.22/100 000,standardized incidence rate 480.17/100 000) was higher than that in female (incidence rate 570.76/100 000,standardized incidence rate 341.02/100 000),and there was a statistically significant difference in the annual average incidence rate (χ²=542.059,P<0.001).The incidence rate of acute cardiovascular and cerebrovascular events increased with age,and the incidence rate of people over 65 years old was the highest.The average annual mortality of acute cardiovascular and cerebrovascular events among the monitored population was 93.00 per 100 000,and the standardized mortality was 59.31 per 100 000,accounting for 15.53% of the total mortality. Conclusion Acute cardiovascular and cerebrovascular events have become an important public health problem in Sanming City.Stroke is the main disease,the male and the elderly over 65 years old are the key prevention and control population.Necessary comprehensive prevention and intervention measures should be taken.