摘要
目的了解2017-2018年上海市长宁区脑卒中的流行病学特征,为脑卒中的防控提供参考依据。方法从"上海市长宁区心脑血管疾病监测体系"获取2017-2018年脑卒中监测数据,对脑卒中发病及死亡情况进行分析。结果2017-2018年上海市长宁区脑卒中报告标化发病率为166.12/10万,标化死亡率为19.62/10万,男性标化发病及死亡率均高于女性。男性及女性的脑卒中发病和死亡率均随年龄增加呈现上升趋势(χ^2趋势=64.635、71.973、30.667、35.475,均P<0.01)。发病类型和死亡患者均以缺血性脑卒中为主(84.76%,61.34%)。相对于≥60岁的老年病例,中青年病例中出血性脑卒中发病及死亡所占比例较高(χ^2=40.427、47.651,均P<0.01)。出血性脑卒中发病多集中在10月-次年3月,缺血性脑卒中发病最多月份为8和12月,脑卒中死亡病例多集中在12月-次年3月。结论2017-2018年上海市长宁区脑卒中严重影响着居民的健康,应针对重点人群、疾病分型和时间分布制定有针对性的防控措施。
Objective To understand the epidemiological characteristics of stroke in Changning District of Shanghai from 2017-2018,provide reference for prevention and control of stroke.Methods Data of stroke between 2017 and 2018 were collected from the Shanghai Changning District monitoring system of cardio-cerebrovascular disease,to analyze the incidence and death of stroke.Results From 2017-2018,the standardized incidence rate of stroke in Changning District of Shanghai was 166.12/lakh,and the standardized mortality was 19.62/lakh.The standardized incidence rate and standardized mortality in males were higher than those in females.Both incidence and mortality for males and females increased with age(χ^2trend=64.635,71.973,30.667,35.475,all P<0.01).Ischemic stroke was the major type among occurred cases(84.76%)and dead cases(61.34%).However,there were more hemorrhagic cases at the age of 18-59(χ^2=40.427,47.651,both P<0.01)as compared with the cases over 60 years old.Hemorrhagic stroke mostly occurred from October to March of the next year,while ischemic stroke mostly occurred in August or December.The top mortalities of stroke occurred from December to March.Conclusion From 2017-2018,stroke has a serious impact on the health of residents in Changning District of Shanghai.Targeted prevention and control measures shall be established according to risky population,stroke type and season.
作者
李玉华
张云
夏庆华
LI Yu-hua;ZHANG Yun;XIA Qing-hua(Department of Chronic Disease Control,Changning District Center for Disease Control and Prevention,Shanghai,200051,China)
出处
《职业与健康》
CAS
2020年第6期779-782,共4页
Occupation and Health
关键词
脑卒中
流行特征
发病率
死亡率
Stroke
Epidemiological characteristics
Incidence
Mortality