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120993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(χ^(2)=1262.329,P<0.001)。脑卒中粗发病率随年龄增长呈上升趋势(χ^(2)_(趋势)=377708.263,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94038例,占77.72%;出血性脑卒中24176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。
Objective 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 resi⁃dents in Jinhua City from 2015 to 2020 were collected from Zhejiang Provincial Information Management System for Sur⁃veillance 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 120993 stroke cases were reported in Jinhua City from 2015 to 2020,and the annual mean crude incidence and stan⁃dardized incidence of stroke were 415.68/105 and 339.67/105,respectively.There were no significant trends in crude in⁃cidence(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;χ^(2)=1262.329,P<0.001),and the crude incidence of stroke appeared a tendency towards a rise with age(χ^(2) _(trend)=377708.263,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 94038 residents with ischemic stroke(77.72%)and 24176 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 rela⁃tively 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.
作者
王诚
王小红
徐则林
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)
出处
《预防医学》
2022年第6期606-610,共5页
CHINA PREVENTIVE MEDICINE JOURNAL
基金
金华市科技局基金资助项目(2018-04-087)。
