台灣地區1971~1980年高血壓－相關疾病死亡率之變化

Changes Of Hypertension-Related Mortality In Taiwan Area,1971-1980

葛應欽(Ying-Chin KO)

《The Kaohsiung Journal of Medical Sciences》 1卷2期 (1985/02) Pp. 95-104

https://doi.org/10.6452/KJMS.198502.0095

摘要

分析台灣地區1971至1980年，共十年之高血壓性疾病、缺血性心臟病、腦血管疾病之年齡調整死亡率，結果如下：
1.年齡調整死亡率之趨勢變化：高血壓疾病及缺血性心城病，無論男女皆呈上升趨勢，而腦血管疾病呈下降趨勢，合併三種病變，則呈下降趨勢，在統計學上有顯著意義。
2.年齡調整死亡率之地理別差異：省轄市之高血壓疾病死亡率較高，而院轄市，尤其台北市，腦血管疾病死亡率較低，但相對的缺血性心臟病死亡率較高，而在鄉村，高血壓疾病、缺血性心臟病之死亡率在男性較低，皆有統計學上顯著的意義。
3.與國際問作比較：台灣高血壓疾病死亡率比也界各國相當高，而腦血管疾病死亡率雖無下降趨勢，但比各國仍偏高，但缺血性心臟病死亡率比先進國家則相當低。
由結果可推論，腦血管疾病死亡率有繼續下降的趨勢，而高血壓疾病死亡率將繼續上升，但將轉為水平線。建議加強高血壓之控制工作，同時針對高血壓的危險因素，減少發病率，以使高血壓疾病及腦血管疾病死亡率再降低。

並列摘要

Ten year trends in age-adjusted death rates for hypertensive disease are analyzed, with comparisons to the underlying causes of mortality from ischaemic heart disease and cerebrovascular disease. Age-adjusted mortal-ity of hypertensive and ischaemic heart disease increased both for males and females, while cerebrovascular disease decreased. Age adjusted declines of 12.9 and 13.4 per cent between 1971 and 1980 were observed for the three diseases when cornbined with statistical significance. The death rate of hypertension was higher in provincial and county cities than in municipalities and rural areas. In Taipei municipality the death rate of stroke was lower but death rate of ischaemic heart was higher. Despite the decline in stroke , the age-adjusted death rate was still higher than other countries. However death rates of ischaemic heart disease are lower than developed countries.

並列關鍵字

hypertension-related mortality