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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
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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。
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王诚
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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:  
https://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2022.06.012      或      https://www.zjyfyxzz.com/CN/Y2022/V34/I6/606
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