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目的 研究合肥市居民心血管病发病和死亡规律 ,寻找防治措施。方法 对前 5年和后 5年平均死亡率、标化死亡率、年龄别死亡率及寿命损失年 (YPLL)进行比较。结果 居民全死因粗死亡率和标化死亡率由 2 0世纪 80年代末的 4 1 7.5 5 /1 0万和 4 6 1 .83/1 0万 ,下降至 2 0世纪 90年代末的 379.1 1 /1 0万和4 2 8.79/1 0万。但心血管病呈上升趋势 ,由 1 2 5 .2 5 /1 0万和 1 39.4 6 /1 0万 ,上升至 1 2 6 .85 /1 0万和 1 4 6 .0 4 /1 0万。其中 ,心肌梗塞和脑血管病上升较快 ,分别上升 6 5 .4 3%和 4 1 .5 7%。男性死于心血管病者高于女性 ,且近年来明显增加并有年龄组提前趋势。结论 合肥市居民心血管病死亡正逐渐上升。脑血管病和心肌梗塞是心血管病防治的重点 ,而男性早期防治尤为重要
Objective To study the incidence and mortality of cardiovascular disease in Hefei residents and to find out the prevention and treatment measures. Methods The average mortality, standardized mortality, age-specific mortality and years of life lost (YPLL) in the first 5 years and the last 5 years were compared. Results The death rate and standard death rate of all causes of death of residents dropped from 41 7.5 1/10 million and 4 6 1.83 / 10 000 in the late 1980s to 379.1 1 in the late 1990s / 10 million and 42.79 / 10 million. However, the prevalence of cardiovascular disease is on an upward trend from 125.51 million and 1 39.4 6/10 million to 126.65 million and 146.014 million respectively . Among them, myocardial infarction and cerebrovascular disease increased rapidly, rising 65.34% and 41.7% respectively. Men die of cardiovascular disease than women, and in recent years increased significantly and the age group ahead of the trend. Conclusion The death of cardiovascular disease in Hefei residents is gradually rising. Cerebrovascular disease and myocardial infarction is the focus of prevention and treatment of cardiovascular disease, and early male prevention is particularly important