Abstract：Objective To investigate the characteristics and trend of stroke incidence in Jining City, Shangdong Province from 2015 to 2022, so as to provide the reference for formulating prevention and control strategies of stroke. Methods Data of stroke incidence in Jining City from 2015 to 2022 were collected from Shandong Provincial Chronic Disease Surveillance Information Management System. The crude incidence was estimated, standardized using the data of the sixth national population census in 2010, and analyzed by age, gender and subtype. The trend in incidence of stroke was analyzed using annual percent change (APC). Results A total of 316 267 cases of stroke were reported in Jining City from 2015 to 2022, with a crude incidence of 474.17/105 and a standardized incidence of 371.43/105. The incidence of stroke peaked from March to May (90 409 cases, 28.59%). There were 278 901 cases of ischemic stroke (88.19%) and 37 366 cases of hemorrhagic stroke (11.81%). The crude incidence of stroke was higher in males than in females (525.45/105 vs. 420.16/105, P<0.05). The crude incidence of stroke increased with age (P<0.05), reaching a peak in the age group of 80 years and above (2 764.92/105). From 2015 to 2022, the crude incidence of stroke in the overall population, males, females, the age groups of 0-<30 years and 40-<50 years showed increasing trends (APC=6.142%, 6.992%, 5.054%, 3.693% and 6.587%, all P<0.05); the crude incidence of ischemic stroke in the overall population, males and females showed increasing trends (APC=7.489%, 6.593% and 5.456%, all P<0.05), while the crude incidence rates of hemorrhagic stroke did not show significant trends (APC=3.455%, 2.804% and 1.919%, all P>0.05). Conclusions The crude incidence of stroke increased in Jining City from 2015 to 2022, with ischemic stroke as the predominant subtype. March to May was the peak period for disease onset, and young and middle-aged men should be focused on.
李季, 王梅, 张丽丽, 段雯华, 宋楠楠, 敖立文, 李瑞. 2015—2022年济宁市脑卒中发病趋势[J]. 预防医学, 2024, 36(11): 984-987.
LI Ji, WANG Mei, ZHANG Lili, DUAN Wenhua, SONG Nannan, AO Liwen, LI Rui. Trend in incidence of stroke in Jining City from 2015 to 2022. Preventive Medicine, 2024, 36(11): 984-987.
[1] 王陇德,彭斌,张鸿祺,等.《中国脑卒中防治报告2020》概要[J].中国脑血管病杂志,2022,19(2):136-144. [2] MA Q F,LI R,WANG L J,et al.Temporal trend and attributable risk factors of stroke burden in China,1990-2019:an analysis for the Global Burden of Disease Study 2019[J].Lancet Public Health,2021,6(12):897-906. [3] GBD 2019 Stroke Collaborators.Global,regional,and national burden of stroke and its risk factors,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019BD 2019 Stroke Collaborators.Global,regional,and national burden of stroke and its risk factors,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019[J].Lancet Neurol,2021,20(10):795-820. [4] 汪进洋,孙宗永.2016—2020年东营市东营区居民脑卒中监测分析[J].预防医学论坛,2022,28(3):237-240. [5] 张瑞洁,纪威,韩丽媛,等.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. [6] 赵婷,徐珊瑚,于靖莹,等.新型冠状病毒肺炎疫情期间脑卒中患者的就医行为分析[J].心脑血管病防治,2021,21(4):327-330. [7] 房启迪,刘盈,程传龙,等.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. [8] 陈晓荣,颜流霞,厚磊,等.2015—2019年中国居民脑卒中发病与死亡特征分析[J].中国循环杂志,2024,39(5):470-476. [9] 王洁,汪宁,刘宁杰,等.中青年缺血性脑卒中患者与健康人群生活行为习惯及基因多态性比较研究[J].华南预防医学,2022,48(10):1196-1200. [10] 孙晓东,贺瑛福.雌激素的脑保护作用及研究进展[J].中西医结合心血管病电子杂志,2020,8(34):35,43. [11] 张伟伟,秦绪成,李伟伟,等.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. [12] 徐秋霞,沈怡,熊建菁,等.2012—2019年上海市静安区监测人群脑卒中流行病学特征分析[J].预防医学情报杂志,2021,37(10):1340-1344. [13] ZHOU Y H,ZHANG X H,ZHANG L Q,et al.Increased stroke risk in metabolically abnormal normal weight:a 10-year follow-up of 102 037 participants in China[J].Transl Stroke Res,2021,12(5):725-734. [14] 张真,曹青,徐春晓,等.2020—2021年山东省脑梗死发病流行特征及空间聚集性分析[J/OL].疾病监测[2024-08-03].http://kns.cnki.net/kcms/detail/11.2928.R.20240709.1120.002.html. [15] 陈璐,陈瑶瑶.2015—2022年永康市脑卒中发病趋势分析[J].预防医学,2024,36(1):74-77. [16] 徐英,郭艳芳,刘峥,等.2010—2019年深圳市宝安区不同类型脑卒中合并慢性病患病及复发情况[J].中国慢性病预防与控制,2022,30(10):784-787.
