马爱娟, 姜莹莹, 周脉耕, 毛凡, 董忠. 北京市人群心血管健康水平现状调查[J]. 疾病监测, 2020, 35(5): 376-380. DOI: 10.3784/j.issn.1003-9961.2020.05.004
引用本文: 马爱娟, 姜莹莹, 周脉耕, 毛凡, 董忠. 北京市人群心血管健康水平现状调查[J]. 疾病监测, 2020, 35(5): 376-380. DOI: 10.3784/j.issn.1003-9961.2020.05.004
Aijuan Ma, Yingying Jiang, Maigeng Zhou, Fan Mao, Zhong Dong. Cardiovascular health status of population in Beijing[J]. Disease Surveillance, 2020, 35(5): 376-380. DOI: 10.3784/j.issn.1003-9961.2020.05.004
Citation: Aijuan Ma, Yingying Jiang, Maigeng Zhou, Fan Mao, Zhong Dong. Cardiovascular health status of population in Beijing[J]. Disease Surveillance, 2020, 35(5): 376-380. DOI: 10.3784/j.issn.1003-9961.2020.05.004

北京市人群心血管健康水平现状调查

Cardiovascular health status of population in Beijing

  • 摘要:
    目的基于中国心血管健康指数(CHI)(2017)研究,首次掌握北京市人群心血管健康水平现状,为北京市人群心血管疾病干预和防控政策制定提供科学依据。
    方法利用中国CHI(2017)分省研究结果,分析北京市CHI得分及指数各个维度得分情况。 指数满分为100分,分值越高代表健康水平越好。
    结果北京市CHI总分为75.4分,位列全国第1名。 心血管疾病流行情况(A维度)得分68.0分,低于上海市(76.6分),全国第9名;心血管疾病患病率得分为22.3分。 危险因素暴露情况(B维度)得分37.0分,低于上海市(49.6分),全国第27名;代谢性指标得分8.5分,超重、肥胖、中心型肥胖、高血压、糖尿病和高脂血症患病率分别为33.1%、25.9%、47.8%、35.5%、19.4%和36.7%,患病率高于上海市和全国水平。 危险因素防控情况(C维度)得分96.0分,全国第1名,高血压知晓率、治疗率和控制率分别为49.2%、42.0%和14.9%。 心血管疾病救治情况(D维度)得分62.0分,全国第1名,救治能力位居全国首位,急救车数量、胸痛中心数量和卒中中心数量分别为85.6/100万、0.2/100万和0.5/100万,救治过程和救治结局得分分别为41.1和64.1分。 公共卫生政策与服务能力情况(E维度)得分77.1分,低于上海市(79.5分),全国第2名。 中国CHI的52个指标中北京市有26个劣于上海市。
    结论北京市人群心血管疾病危险因素防控和救治能力位居全国首位,但心血管疾病患病率高,危险因素尤其是代谢性指标暴露水平高,高血压控制率有待提高,胸痛中心和卒中中心数量不足,救治过程和救治结局有待改善,慢病保障政策制定略滞后。

     

    Abstract:
    ObjectiveCardiovascular Health Index (CHI) (2017) was used to analyze the current cardiovascular health status in Beijing, to provide guidance for cardiovascular disease prevention and control, and provide basis for formulating policies.
    MethodsBased on the provincial research results of CHI (2017), score of CHI and each dimension of Beijing were analyzed. The full score was 100, and the higher the value, the better.
    ResultsThe score of CHI (2017) in Beijing was 75.4 which ranked first in China. The CHI score of cardiovascular disease prevalence (A dimension) was 68.0, lower than that in Shanghai (76.6), and ranked 9th in China. The prevalence of cardiovascular disease scored 22.3. The CHI score of exposure of risk factors (B dimension) was 37.0, lower than that in Shanghai (49.6), and ranked 27th in China. The metabolic index scored 8.5. The prevalence of overweight, obesity, central obesity, hypertension, diabetes mellitus and hyperlipidemia was 33.1%, 25.9%, 47.8%, 35.5%, 19.4% and 36.7%, respectively, higher than that of Shanghai and the whole country. The CHI score of prevention and control of risk factors (C dimension) was 96.0 which ranked the first in China. The awareness, treatment and control rate of hypertension was 49.2%, 42.0% and 14.9%, respectively. The CHI score of treatment of cardiovascular disease (D dimension) was 62.0 which ranked first in China. The treatment capacity ranked first in China. The number of emergency vehicles, chest pain centers and stroke centers was 85.6 per million, 0.2 per million and 0.5 per million, respectively. The score of treatment process and outcome was 41.1 and 64.1, respectively. The score of public policy and service capacity (E dimension) was 77.1, lower than that in Shanghai (79.5), and ranked second in China. Among total 52 indicators of CHI (2017), 26 indicators in Beijing were worse than that in Shanghai
    ConclusionBeijing ranked first in the prevention and control of cardiovascular disease risk factors, also ranked first in the treatment capacity of cardiovascular disease in China. However, the prevalence of cardiovascular disease and related risk factors, especially metabolic indicators, was high. The control rate of hypertension needs to be improved. The number of chest pain centers and stroke centers was not adequate. The treatment process and outcome of cardiovascular need to be improved. The development of chronic disease insurance policy was lagging behind.

     

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