Please wait a minute...
文章检索
预防医学  2022, Vol. 34 Issue (6): 606-610    DOI: 10.19485/j.cnki.issn2096-5087.2022.06.012
  疾病控制 本期目录 | 过刊浏览 | 高级检索 |
2015—2020年金华市居民脑卒中发病趋势分析
王诚, 王小红, 徐则林
金华市疾病预防控制中心慢性非传染性疾病防制科,浙江 金华 321000
Trends in incidence of stroke among residents in Jinhua Cityfrom 2015 to 2020
WANG Cheng, WANG Xiaohong, XU Zelin
Department of Non-communicable Disease Control and Prevention, Jinhua Center for Disease Control and Prevention, Jinhua, Zhejiang 321000, China
全文: PDF(781 KB)  
输出: BibTeX | EndNote (RIS)      
摘要 目的 了解2015—2020年金华市居民脑卒中发病情况及变化趋势,为防制脑卒中提供依据。方法 通过浙江省慢性病监测信息管理系统收集2015—2020年金华市户籍居民脑卒中发病资料,计算脑卒中发病率,按照2010年全国第六次人口普查数据标化,采用年度变化百分比(APC)评估脑卒中发病趋势。结果 2015—2020年金华市报告脑卒中120 993例,年均粗发病率和标化发病率分别为415.68/10万和339.67/10万。脑卒中粗发病率(APC=0.30%,t=0.234,P=0.827)和标化发病率(APC=-0.99%,t=0.946,P=0.398)均未见明显变化趋势。男性脑卒中粗发病率为457.38/10万,高于女性的372.62/10万(χ2=1 262.329,P<0.001)。脑卒中粗发病率随年龄增长呈上升趋势(χ2趋势=377 708.263,P<0.001),≥75岁居民脑卒中发病率呈逐年下降趋势(APC=-2.66%,t=3.078,P=0.037)。缺血性脑卒中94 038例,占77.72%;出血性脑卒中24 176例,占19.98%;出血性脑卒中粗发病率和标化发病率均呈下降趋势(APC=-1.78%,t=3.440,P=0.026;APC=-2.66%,t=3.911,P=0.017)。结论 2015—2020年金华市居民脑卒中发病趋势较为平稳,整体仍处于高位。发病类型以缺血性脑卒中为主,男性和中老年人是高危人群。
服务
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章
王诚
王小红
徐则林
关键词 脑卒中发病率趋势    
AbstractObjective To analyze the incidence and trends for incidence of stroke in Jinhua City from 2015 to 2020, so as to provide insights into stroke control. Methods The data pertaining to incidence of stroke among registered residents in Jinhua City from 2015 to 2020 were collected from Zhejiang Provincial Information Management System for Surveillance on Chronic Diseases. The incidence of stroke was estimated and standardized to the Sixth National Population Census in 2010. The trend in incidence of stroke was evaluated using annual percent change (APC). Results Totally 120 993 stroke cases were reported in Jinhua City from 2015 to 2020, and the annual mean crude incidence and standardized incidence of stroke were 415.68/105 and 339.67/105, respectively. There were no significant trends in crude incidence (APC=0.30%, t=0.234, P=0.827) and standardized incidence of stroke (APC=-0.99%, t=0.946, P=0.398). The crude incidence of stroke was significantly higher in men than in women (457.38/105 vs. 372.62/105; χ2 =1 262.329, P<0.001), and the crude incidence of stroke appeared a tendency towards a rise with age (χ2 trend=377 708.263, P<0.001), with a tendency towards a decline among residents at ages of 75 years and older (APC=-2.66%, t=3.078, P=0.037). There were 94 038 residents with ischemic stroke (77.72%) and 24 176 residents with hemorrhagic stroke (19.98%), and both the crude incidence (APC=1.78%, t=3.440, P=0.026) and standardized incidence of hemorrhagic stroke (APC=2.66%, t=3.911, P=0.017) appeared a tendency towards a decline. Conclusions The incidence of stroke remained relatively stable in Jinhua City from 2015 to 2020; however, the overall incidence was still high. Ischemic stroke was the predominant type of stroke, and men and middle-aged and elderly people are at high risk of stroke.
Key wordsstroke    incidence    trend
收稿日期: 2021-12-01      修回日期: 2022-03-14      出版日期: 2022-06-10
中图分类号:  R743.3  
基金资助:金华市科技局基金资助项目(2018-04-087)
作者简介: 王诚,硕士,主管医师,主要从事慢性病监测与防治工作
通信作者: 王诚,E-mail:928714021@qq.com   
引用本文:   
王诚, 王小红, 徐则林. 2015—2020年金华市居民脑卒中发病趋势分析[J]. 预防医学, 2022, 34(6): 606-610.
WANG Cheng, WANG Xiaohong, XU Zelin. Trends in incidence of stroke among residents in Jinhua Cityfrom 2015 to 2020. Preventive Medicine, 2022, 34(6): 606-610.
链接本文:  
http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.06.012      或      http://www.zjyfyxzz.com/CN/Y2022/V34/I6/606
[1] 马丽媛,吴亚哲,王文,等.《中国心血管病报告2017》要点解读[J].中国心血管杂志,2018,23(1):3-6.
MA L Y,WU Y Z,WANG W,et al.Interpretation of the report on cardiovascular diseases in China(2017)[J].Chin J Cardiovasc Med,2018,23(1):3-6.
[2] 王小红,王诚,陈左霞,等.2014—2017年金华市居民脑血管病死亡情况分析[J].中国预防医学杂志,2019,20(3):208-211.
WANG X H,WANG C,CHEN Z X,et al.Analysis of cerebrovascular disease mortality among residents in Jinhua in 2014-2017[J].Chin Prev Med,2019,20(3):208-211.
[3] 叶春梅,陈青华,胡永勤,等.2010—2019年余杭区脑卒中发病和死亡趋势分析[J].预防医学,2021,33(9):916-918.
YE C M,CHEN Q H,HU Y Q,et al.Changes of stroke incidence and mortality in Yuhang District from 2010 to 2019[J].Prev Med,2021,33(9):916-918.
[4] 丁晶莹,俞梅华,刘小琦.2015—2017年湖州市居民脑卒中流行状况调查及分析[J].健康研究,2019,39(5):505-509.
DING J Y,YU M H,LIU X Q.A survey on strokes prevalent in residents of Huzhou during the period from 2015 to 2017[J].Health Res,2019,39(5):505-509.
[5] 李思瑜,刘令初,马美莉.2013—2016年度台州市脑卒中发病特征分析[J].中国农村卫生事业管理,2018,38(7):925-926.
LI S Y,LIU L C,MA M L.Onset features of stroke in Taizhou city,2013-2016[J].Chin Rural Health Serv Admin,2018,38(7):925-926.
[6] 高波,赵磊.鄞州区四种主要慢性病流行特征分析[J].预防医学,2021,33(8):822-824.
GAO B,ZHAO L.Epidemiological characteristics of four main non-communicable diseases in Yinzhou District[J].Prev Med,2021,33(8):822-824.
[7] 马林,巢宝华,曹雷,等.2007—2017年中国脑卒中流行趋势及特征分析[J].中华脑血管病杂志(电子版),2020,14(5):253-258.
MA L,CHAO B H,CAO L,et al.The epidemiology and characteristics of stroke in china from 2007 to 2017:a national analysis[J].Chin J Cerebrovasc Dis(Electron Ed),2020,14(5):253-258.
[8] 冯浓萍,黎冰玲,张元昊,等.2014—2018年深圳市龙岗区脑卒中发病流行特征及趋势分析[J].中国慢性病预防与控制,2020,28(10):781-784.
FENG N P,LI B L,ZHANG Y H,et al.Epidemiological characteristics and trend analysis of stroke in Longgang District,Shenzhen from 2014 to 2018[J].Chin J Prev Contr Chron Dis,2020,28(10):781-784.
[9] 孙海欣,王文志.中国60万人群脑血管病流行病学抽样调查报告[J].中国现代神经疾病杂志,2018,18(2):83-88.
SUN H X,WANG W Z.A nationwide epidemiological sample survey on cerebrovascular disease in China[J]. Chin J Contemp Neurol Neurosurg,2018,18(2):83-88.
[10] 秦奎,杨进,毛玮,等.2010—2016年广西脑卒中死亡率及变化趋势分析[J].中国慢性病预防与控制,2019,27(9):650-652,657.
QIN K,YANG J,MAO W,et al.Analysis on mortality and trend of stroke in Guangxi from 2010 to 2016[J].Chin J Prev Contr Chron Dis,2019,27(9):650-652,657.
[11] 赖耀荣,薛金玉.2010—2018年浙江省象山县居民脑卒中流行病学分析[J].现代实用医学,2020,32(8):943-945.
LAI Y R,XUE J Y.Epidemiological analysis of stroke among residents in Xiangshan County,Zhejiang Province from 2010 to 2018[J].Mod Pract Med,2020,32(8):943-945.
[12] 华钰洁,王临池,黄春妍,等.2008—2017年苏州市脑卒中发病率和死亡率变化趋势分析[J].现代预防医学,2019,46(13):2492-2496.
HUA Y J,WANG L C,HUANG C Y,et al.Trend analysis on the mortality of stroke in Suzhou,2008-2017[J].Mod Prev Med,2019,46(13):2492-2496.
[13] 从祥丰. 中国11省队列人群脑卒中及其亚型发病状况及影响因素研究[D].北京:中国疾病预防控制中心,2021.
CONG X F.Study on the incidence and related factors of stroke and its subtypes based on a cohort population[D].Beijing:Chinese Center for Disease Control and Prevention,2021.
[14] 陈昕,宋慧,李晓波,等.扬州地区脑卒中患病情况及相关因素分析[J].现代预防医学,2018,45(22):4165-4168.
CHEN X,SONG H,LI X B,et al.Prevalence and influencing factors of stroke in Yangzhou[J].Mod Prev Med,2018,45(22):4165-4168.
[15] 王陇德,刘建民,杨弋,等.我国脑卒中防治仍面临巨大挑战——《中国脑卒中防治报告2018》概要[J].中国循环杂志,2019,34(2):105-119.
WANG L D,LIU J M,YANG Y,et al.The prevention and treatment of stroke still face huge challenges:brief report on stroke prevention and treatment in China,2018[J].Chin Circ J,2019,34(2):105-119.
[1] 李玉荣, 汪芬娟, 王冬飞, 林君英, 蒋园园, 高媛媛, 赵芳芳. 2015—2020年萧山区恶性肿瘤发病趋势分析[J]. 预防医学, 2023, 35(8): 687-691.
[2] 郑伟, 张世勇, 杨纶砥, 熊华利. 基于年龄-时期-队列模型的1990—2019年我国艾滋病发病率趋势分析[J]. 预防医学, 2023, 35(8): 665-668,681.
[3] 王永, 包凯芳, 王思嘉, 陈洁平, 崔军, 应焱燕, 朱银潮, 李思萱, 徐典. 2011—2022年宁波市胃癌发病和死亡趋势分析[J]. 预防医学, 2023, 35(7): 557-562.
[4] 郑颖, 陈述, 钱棪梅, 唐晓翠, 李秀央. 2016—2022年金东区脑卒中发病趋势分析[J]. 预防医学, 2023, 35(7): 611-614.
[5] 赵信星, 陈洪恩, 董晓, 邹泉, 梁晓峰, 吴静, 王长义. 2010—2021年南山区脑卒中发病趋势[J]. 预防医学, 2023, 35(3): 200-204.
[6] 张瑞洁, 纪威, 韩丽媛, 张良. 2012—2021年宁波市脑卒中发病和死亡趋势分析[J]. 预防医学, 2023, 35(3): 224-228.
[7] 徐云辉, 应丹丹, 杨静. 中青年脑卒中患者功能锻炼依从性研究[J]. 预防医学, 2023, 35(2): 171-175.
[8] 许树红, 单杏仁, 卢巧玲, 孟海滨, 余佳琦. 2012—2021年绍兴市生殖道沙眼衣原体感染流行病学特征[J]. 预防医学, 2023, 35(2): 148-151.
[9] 刘正楠, 倪兆林, 赵秋芳, 农璐铭, 张译丹, 刘红雁, 曾丽萍, 吴强. 2004—2022年玉溪市病毒性肝炎流行趋势分析[J]. 预防医学, 2023, 35(12): 1075-1079.
[10] 应莉娅, 朱洪挺, 胡浩, 胡春生, 张凤. 2013—2019年永康市恶性肿瘤发病趋势分析[J]. 预防医学, 2023, 35(11): 970-974.
[11] 项彩英, 汪德兵. 2011—2022年开化县肺癌发病和死亡趋势分析[J]. 预防医学, 2023, 35(10): 885-889.
[12] 刘锐, 蔺茂文, 江鸿, 李舒超, 张凡, 孙春. 2008—2022年荆州市丙型病毒性肝炎发病的年龄、时期、队列趋势分析[J]. 预防医学, 2023, 35(10): 871-876.
[13] 房启迪, 刘盈, 程传龙, 韩闯, 杨淑霞, 崔峰, 李秀君. 热浪和寒潮对出血性脑卒中发病的影响研究[J]. 预防医学, 2023, 35(1): 6-10.
[14] 胡碧波, 傅克本, 顾永权. 2011—2018年余姚市恶性肿瘤发病趋势[J]. 预防医学, 2023, 35(1): 44-47,52.
[15] 张伟伟, 秦绪成, 李伟伟, 马昭君, 董建梅. 2014—2020年连云港市脑卒中发病趋势分析[J]. 预防医学, 2022, 34(9): 932-936,950.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed