摘要
目的了解2008—2017年合肥市城乡居民脑血管疾病死亡率的流行趋势,为合肥市慢性病防治提供依据。方法收集2008—2017年合肥市城乡居民脑血管疾病死因监测数据。采用Joinpoint回归模型计算死亡率的年度变化百分比(APC),运用Joinpoint Regression Program V 4.7.0.0软件进行统计分析。结果2008—2017年,合肥市脑血管病粗死亡率由80.24/10万上升到124.25/10万,变化趋势有统计学意义(APC=4.48%,P<0.01),其中出血性脑卒中死亡构成比由64.56%下降到39.01%,缺血性脑卒中死亡构成比由35.44%上升到60.99%。男性脑血管病死亡率由88.16/10万上升到129.18/10万(APC=3.87%);女性死亡率由71.51/10万上升到119.02/10万(APC=5.28%),变化趋势均有统计学意义(P<0.01)。城市居民脑血管病死亡率由77.59/10万上升到107.32/10万(APC=4.06%),农村居民脑血管病死亡率由82.13/10万上升到141.15/10万(APC=5.23%),变化趋势有统计学意义(P<0.01)。75~岁及以上老年人脑血管病死亡率均随时间呈上升趋势,均有统计学意义(P<0.01)。结论合肥市脑血管病死亡率逐年增加,其中缺血性脑卒中死亡构成比逐年上升。应重点开展农村地区和男性人群的脑卒中筛查,同时加强健康教育,降低脑血管病的死亡率。
Objective To understand the epidemic trend of cerebrovascular disease mortality in urban and rural residents of Hefei from 2008 to 2017,and to provide the basis for the prevention and treatment of chronic diseases in Hefei.Methods The surveillance data of death causes of cerebrovascular diseases in urban and rural residents of Hefei from 2008 to 2017 were collected.The annual percentage of change(APC)of mortality was calculated by Joinpoint regression model,and the used software was Joinpoint Regression Program V 4.7.0.0.Result From 2008 to 2017,the crude mortality of cerebrovascular diseases in Hefei increased from 80.24/105 to 124.25/105,with a statistically significant change trend(APC=4.48%,P<0.01),in which the proportion of hemorrhagic death decreased from 64.56%to 39.01%,and the proportion of ischemic death increased from 35.44%to 60.99%.The mortality of cerebrovascular disease in males increased from 88.16/105 to 129.18/105(APC=3.87%);the mortality of females increased from 71.52/105 to 119.02/105(APC=5.28%),P<0.01.The mortality of cerebrovascular disease in urban residents increased from 77.59/105 to 107.32/105(APC=4.06%),the mortality of cerebrovascular disease in rural residents increased from 82.13/105 to 141.15/105(APC=5.23%),P<0.01.The mortality of cerebrovascular disease in elderly group over 75 years old showed an upward trend with time(P<0.01)Conclusion The mortality of cerebrovascular diseases in Hefei increased year by year,and the proportion of ischemic death increased year by year.It should focus on stroke screening in rural areas and males.The health education should be strengthened to reduce the mortality of cerebrovascular disease.
作者
李晓铷
张俊青
王茜
张小鹏
LI Xiao-ru;ZHANG Jun-qing;WANG Qian;ZHANG Xiao-peng(Center for Chronic Disease Prevention and Health Education,Hefei Center for Disease Control and Prevention,Hefei,Anhui Province 230022,China)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2020年第6期432-435,共4页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
合肥市医学重点学科建设资助项目(合卫科教[2019]160号)。
关键词
脑血管病
死亡率
年度变化百分比
Cerebrovascular diseases
Mortality
Annual percentage change
