江国虹, 薛晓丹, 王德征, 张颖, 李威, 沈成凤, 徐忠良, 张辉. 天津市心脑血管疾病发病监测系统的评价研究[J]. 疾病监测, 2018, 33(8): 685-689. DOI: 10.3784/j.issn.1003-9961.2018.08.017
引用本文: 江国虹, 薛晓丹, 王德征, 张颖, 李威, 沈成凤, 徐忠良, 张辉. 天津市心脑血管疾病发病监测系统的评价研究[J]. 疾病监测, 2018, 33(8): 685-689. DOI: 10.3784/j.issn.1003-9961.2018.08.017
Guohong Jiang, Xiaodan Xue, Dezheng Wang, Ying Zhang, Wei Li, Chengfeng Shen, Zhongliang Xu, Hui Zhang. Assessment study of cardio-cerebrovascular disease surveillance system in Tianjin[J]. Disease Surveillance, 2018, 33(8): 685-689. DOI: 10.3784/j.issn.1003-9961.2018.08.017
Citation: Guohong Jiang, Xiaodan Xue, Dezheng Wang, Ying Zhang, Wei Li, Chengfeng Shen, Zhongliang Xu, Hui Zhang. Assessment study of cardio-cerebrovascular disease surveillance system in Tianjin[J]. Disease Surveillance, 2018, 33(8): 685-689. DOI: 10.3784/j.issn.1003-9961.2018.08.017

天津市心脑血管疾病发病监测系统的评价研究

Assessment study of cardio-cerebrovascular disease surveillance system in Tianjin

  • 摘要:
    目的 介绍天津市心脑血管病的发病监测体系及监测数据分析,为开展稳定持续的疾病监测提供经验。
    方法 通过监测体系的建立,在日常工作中加强人员能力建设,数据的规范管理,由医院报告首诊新发病例信息,天津市疾病预防控制中心负责两级的数据收集、整理、审核与质量评价;并使用SAS、Joinpoint软件等对数据进行分析、转化。
    结果 监测系统漏报率在4.88%,城乡差异无统计学意义(P=0.43)。 心脑血管病的年平均报告数从13 000例上升到80 000余例,数据平稳上升,心源性猝死和出血性脑卒中的发病在下降,而心肌梗死和梗死型脑卒中的发病保持上升趋势,经统计学检验差异均有统计学意义(P<0.001)。 Joinpoint模型分析预测到2020年天津市梗死型脑卒中发病依然保持上升趋势,发病率可达800/10万。
    结论 天津市利用规范化的监测体系收集和管理病例信息开展疾病监测,可及时获得疾病的流行规律及分布特征,为精准开展心脑血管疾病防治提供数据支撑,也可为其他地区提供可借鉴的经验。

     

    Abstract:
    Objective To introduce the cardio-cerebrovascular disease surveillance system and its data analysis, and provide reference for the stable and long term surveillance for the disease.
    Methods Since the establishment of the surveillance system, the capability building of staff and standardized data management have been strengthened in daily work.The incidence data of the disease are reported by hospitals and collected, sorted, verified and evaluated by centers for disease control and prevention in Tianjin. The data are analyzed and transformed with software SAS and Joinpoint.
    Results The underreporting rate of the surveillance system was 4.88%, and there was no significant difference between urban area and rural area. The annual case number reported increased steadily from 13 000 to over 80 000. The incidence of sudden cardiac death and intra cerebral hemorrhage showed a decline trend, while the incidence of acute myocardial infarction and cerebral infarction remained to increase, the differences were all significant (P<0.001). Joinpoint model analysis predicted that the incidence of cerebral infarction would increase to 800/100 000 by year 2020.
    Conclusion Standardized cardio-cerebrovascular disease surveillance is conducted in Tianjin, through which the disease trend and distribution can be found in time to support the effective prevention and control of cardio-cerebrovascular disease in Tianjin and provide references for other areas.

     

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