Objective: To analyze the epidemiological characteristics and trend of ischemic heart disease and cerebrovascular disease mortality among Xuzhou residents from 2011 to 2015. Methods: The mortality data of the ischemic heart disease and cerebrovascular disease were obtained from the registration disease surveillance system covering the residents of the city from 2011 to 2015. Ischemic heart disease and cerebrovascular disease were identified according to the international classification of diseases (ICD-10), Ischemic heart diseases include I20 to I25 (angina pectoris, acute myocardial infarction, certain current complications following acute myocardial infarction, other acute ischemic heart diseases chronic ischemic heart disease); cerebrovascular diseases include I60 to I69 (subarachnoid hemorrhage, intracerebral hemorrhage, other non-traumatic hemorrhage, cerebral infarction, stroke not specified as hemorrhage or infarction, other cerebrovascular diseases, sequelae of cerebrovascular disease). Results: (1)From 2011 to 2015, the chronic ischemia Cardio-Cerebrovascular disease mortality of residents in Xuzhou was 261.2 per one hundred thousand (129 950/49 748 321), 269.9 per one hundred thousand(69 562/25 775 930)for male residents, 252.0 per one hundred thousand(60 388/23 972 391)for female residents, the mortality rate in men was significantly higher than that in women (P<0.05). The chronic ischemic Cardio-Cerebrovascular disease mortality rate of urban residents was 243.8 per one hundred thousand(17 049/6 993 787), which was lower than the rate of rural residents (264.0 per one hundred thousand(112 901/42 754 534), P<0.05). (2)From 2011 to 2015, the mortality rate of ischemic heart disease in Xuzhou city remained unchanged: 117.1 per one hundred thousand(11 416/9 747 768), 126.8 per one hundred thousand(12 177/9 600 745), 112.0 per one hundred thousand(11 184/9 986 877), 115.2 per one hundred thousand(11 697/10 151 842), 117.1 per one hundred thousand(12 019/10 261 089, P>0.05). The mortality rate of cerebrovascular disease were 154.0 per one hundred thousand(15 014/9 747 768), 155.9 per one hundred thousand(14 964/9 600 745), 143.5 per one hundred thousand(14 330/9 986 877), 135.5 per one hundred thousand(13 752/10 151 842), 130.6 per one hundred thousand(13 397/10 261 089)respectively, presented with a downward trend(P<0.05). The mortality rate of ischemic cerebrovascular disease were 62.7 per one hundred thousand(6 108/9 747 768), 74.7 per one hundred thousand(7 176/9 600 745), 72.3 per one hundred thousand(7 221/9 986 877), 70.9 per one hundred thousand(7 200/10 151 842)and 72.4 per one hundred thousand(7 431/10 261 089)respectively(P>0.05). The mortality rate of hemorrhagic cerebrovascular disease were 77.6 per one hundred thousand(7 562/9 747 768), 71.6 per one hundred thousand(6 873/9 600 745), 61.2 per one hundred thousand(6 115/9 986 877), 55.3 per one hundred thousand(5 613/10 151 842)and 46.4 per one hundred thousand(4 763/10 261 089)respectively, presented with a downward trend(P<0.05). (3)The average death age due to ischemic heart diseases of all residents was (77.0±13.1)years old, (76.4±13.2) years old among urban residents, (77.1±7.1 )years old among rural residents, (74.3±13.5)years old for male residents, (80.0±12.0) years old for female residents. The average death age due to ischemic cerebrovascular diseases of all residents was (76.4±11.9)years old, (76.5±12.3) years old among urban residents, (76.4±11.9 )years old among rural residents, (74.3±12.2)years old among male residents, (79.0±11.1) years old among female residents. From 2011 to 2015, the death age due to ischemic heart diseases were (76.3±13.5), (77.2±13.0), (76.6±13.3), (77.1±12.9)and(77.8±12.9)years old respectively; the death age due to cerebrovascular disease were (75.8±12.1), (76.3±11.8), (76.6±11.8), (76.6±12.0)and(77.1±11.9)years old respectively. The Spearman rank correlation analysis showed that the death age due to ischemic heart disease and cerebrovascular disease increased year by year in the past 5 years. (r value was 0.033 and 0.038, respectively, all P<0.01). Conclusion: From 2011 to 2015, the mortality of hemorrhagic cerebrovascular disease decreased, while the mortality of ischemic cardiovascular and cerebrovascular diseases remained unchanged among Xuzhou residents.
目的： 分析2011至2015年徐州市城乡居民缺血性心脏病和脑血管疾病死亡特征及变化趋势。 方法： 2011至2015年徐州市户籍居民的死亡资料来源于覆盖全市居民的死因登记报告系统，对其中的缺血性心脏病和脑血管疾病死亡数据进行分析。根据国际疾病分类标准编码(ICD－10)确定缺血性心脏疾病和脑血管疾病死亡，其中缺血性心脏疾病编码包括I20～I25(包括心绞痛、急性心肌梗死、急性心肌梗死后的某些近期并发症、其他急性和慢性缺血性心脏病)，脑血管疾病编码包括I60～I69(包括蛛网膜下出血、脑内出血、其他非创伤性脑内出血、脑梗死、卒中、其他脑血管疾病和脑血管后遗症)。 结果： (1)2011至2015年徐州市居民缺血性心脏病和脑血管疾病死亡率为261.2/10万(129 950/49 748 321)，其中男性为269.9/10万(69 562/25 775 930)，女性为252.0/10万(60 388/23 972 391)，男性死亡率高于女性(P<0.05)。缺血性心脏病和脑血管疾病死亡率城市为243.8 /10万(17 049/6 993 787)，农村为264.0/10万(112 901/42 754 534)，城市死亡率低于农村(P<0.05)。(2)2011至2015年，徐州市缺血性心脏病死亡率分别为117.1/10万(11 416/9 747 768)、126.8/10万(12 177/9 600 745)、112.0/10万(11 184/9 986 877)、115.2/10万(11 697/10 151 842)和117.1/10万(12 019/10 261 089)，差异无统计学意义(P>0.05)；脑血管疾病死亡率分别为154.0/10万(15 014/9 747 768)、155.9/10万(14 964/9 600 745)、143.5/10万(14 330/9 986 877)、135.5/10万(13 752/10 151 842)和130.6/10万(13 397/10 261 089)，呈下降趋势(P<0.05)；缺血性脑血管疾病死亡率分别为62.7/10万(6 108/9 747 768)、74.7 /10万(7 176/9 600 745)、72.3/10万(7 221/9 986 877)、70.9 /10万(7 200/10 151 842)和72.4/10万(7 431/10 261 089)，差异无统计学意义(P>0.05)；出血性脑血管疾病死亡率分别为77.6/10万(7 562/9 747 768)、71.6 /10万(6 873/9 600 745)、61.2 /10万(6 115/9 986 877)、55.3/10万(5 613/10 151 842)和46.4 /10万(4 763/10 261 089)，呈下降趋势(P<0.05)。(3)因缺血性心脏病死亡年龄全市居民为(77.0±13.1)岁，城市居民为(76.4±13.2)岁，农村居民为(77.1±7.1)岁，男性居民为(74.3±13.5)岁，女性居民为(80.0±12.0)岁；因脑血管疾病死亡年龄全市居民为(76.4±11.9)岁，城市居民为(76.5±12.3)岁，农村居民为(76.4±11.9)岁，男性居民为(74.3±12.2)岁，女性居民为(79.0±11.1)岁。2011至2015年，徐州市缺血性心脏病死亡年龄分别为(76.3±13.5)、(77.2±13.0)、(76.6±13.3)、(77.1±12.9)和(77.8±12.9)岁，脑血管疾病死亡年龄分别为(75.8±12.1)、(76.3±11.8)、(76.6±11.8)、(76.6±12.0)和(77.1±11.9)岁。Spearman等级相关分析显示，5年来缺血性心脏病和脑血管疾病死亡年龄均呈逐年增高趋势(r值分别为0.033和0.038，P均<0.01)。 结论： 2011至2015年徐州市出血性脑血管疾病死亡率呈下降趋势，缺血性心脑血管疾病死亡无明显变化。.
Keywords: Death; Myocardial ischemia; Stroke.