Abstract：Objective To analyze the incidence trend of stroke in Wucheng District, Jinhua City, Zhejiang Province from 2015 to 2024, so as to provide a basis for improving the regional stroke prevention and control strategies. Methods Data on stroke cases in Wucheng District from 2015 to 2024, including gender, age and stroke subtypes, were collected from the Zhejiang Provincial Chronic Disease Surveillance Information Management System. The crude incidence of stroke was analyzed, and the standardized incidence was calculated using the age composition of the standard population from the Sixth National Population Census in 2010. The average annual percent change (AAPC) was used to analyze the trend in incidence of stroke stratified by gender, age and stroke subtypes. Results A total of 25 456 stroke cases were reported in Wucheng District from 2015 to 2024. The crude incidence was 390.62/105, showing an upward trend (AAPC=4.161%, P<0.05). The standardized incidence was 253.48/105, with no statistically significant trend (AAPC=-3.219%, P>0.05). The crude incidence of stroke in males and females were 456.95/105 and 325.28/105, respectively, both presenting upward trends (AAPC=4.961%, 3.138%, both P<0.05). The standardized incidence of stroke in males and females were 309.25/105 and 200.11/105, respectively. The standardized incidence in females showed a downward trend (AAPC=-4.442%, P<0.05), while no significant trend was observed in males (AAPC=-2.386%, P>0.05). The crude incidence of stroke in the groups aged <40 years, 40-<50 years, 50-<60 years, 60-<70 years, 70-<80 years and ≥80 years were 10.01/105, 103.09/105, 321.89/105, 854.07/105, 1 702.21/105 and 3 597.14/105, respectively, among which the crude incidence in the ≥80 years group showed a downward trend (AAPC=-6.094%, P<0.05). The standardized incidence of ischemic stroke, hemorrhagic stroke and unclassified stroke were 200.72/105, 51.23/105 and 1.53/105, respectively. The standardized incidence of hemorrhagic stroke and unclassified stroke showed downward trends (AAPC=-8.292%, -15.449%, both P<0.05). Conclusions The crude incidence of stroke increased in Wucheng District from 2015 to 2024. Males and the elderly aged ≥80 years are high-risk populations, and ischemic stroke is the predominant subtype.
陈静英, 陆文雯. 2015—2024年婺城区脑卒中发病趋势分析[J]. 预防医学, 2026, 38(8): 824-827,831.
CHEN Jingying, LU Wenwen. Trend in incidence of stroke in Wucheng District from 2015 to 2024. Preventive Medicine, 2026, 38(8): 824-827,831.
[1] Hilkens N A,Casolla B,Leung T W,et al.Stroke[J].Lancet,2024,403(10446):2820-2836. [2] 高凌霄,曹媛媛,田若童,等.1990—2021年中国脑卒中疾病负担变化趋势及其年龄-时期-队列模型研究[J].中国循证医学杂志,2025,25(7):761-767. [3] Feigin V L,Brainin M,Norrving B,et al.World stroke organization:global stroke fact sheet 2025[J].Int J Stroke,2025,20(2):132-144. [4] 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. [5] 李季,王梅,张丽丽,等.2015—2022年济宁市脑卒中发病趋势[J].预防医学,2024,36(11):984-987. [6] 李景琦,李晨曦,董立平.1994—2023年中国脑卒中发病和死亡的年龄-时期-队列分析[J].预防医学,2026,38(5):488-492,497. [7] 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. [8] 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. [9] 谷昆鹏,胡琪,李巧方,等.2012—2023年浙江省宁波市北仑区脑卒中发病率分析[J].上海预防医学,2025,37(7):586-590. [10] 郭水梅,付美华,陈水芳,等.2015—2019年常山县居民脑卒中发病特征分析[J].浙江临床医学,2022,24(7):1068-1069,1071. [11] 尤莉莉,赵金红,陈新月,等.国家基本公共卫生服务项目十年评价(2009—2019年)系列报告(二)——国家基本公共卫生服务项目实施十年的进展与成效[J].中国全科医学,2022,25(26):3209-3220. [12] 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. [13] Writing Committee of the Report on Cardiovascular Health and Diseases in China.Report on cardiovascular health and diseases in China 2022:an updated summary[J].Biomed Environ Sci,2023,36(8):669-701. [14] Ali M,Van Os H J A,Van Der Weerd N,et al.Sex differences in presentation of stroke:a systematic review and meta-analysis[J].Stroke,2022,53(2):345-354. [15] Louka A M,Sagris D,Ntaios G.Immunity,vascular aging and stroke[J].CMC,2022,29(34):5510-5521. [16] Wang J,Xiao C L,Cheng Z,et al.Analysis and prediction of disease burden of stroke and its subtypes in China from 1990 to 2040[J].Chin Med J(Engl),2025,138(19):2452-2463. [17] Li H B,Qian F,Zuo Y T,et al.U-shaped relationship of high-density lipoprotein cholesterol and incidence of total,ischemic and hemorrhagic stroke:a prospective cohort study[J].Stroke,2022,53(5):1624-1632. [18] 倪小元,袁弯,金团序.金华市婺城区老年糖尿病患者血糖控制情况及相关影响因素分析[J].中国公共卫生管理,2025,41(3):419-421,425. [19] Emerging Risk Factors Collaboration,Sarwar N,Gao P,et al.Diabetes mellitus,fasting blood glucose concentration,and risk of vascular disease:a collaborative meta-analysis of 102 prospective studies[J].Lancet,2010,375(9733):2215-2222. [20] O'Donnell M J,Chin S L,Rangarajan S,et al.Global and regional effects of potentially modifiable risk factors associated with acute stroke in 32 countries(INTERSTROKE):a case-control study[J].Lancet,2016,388(10046):761-775.
