摘要
目的分析2013—2021年山东省滕州市户籍居民在高血压防控期间缺血性卒中(IS)死亡率的时间趋势。方法2013年1月1日山东省滕州市开始高血压防控,采用2013年1月1日至2021年12月31日IS死亡病例监测数据统计IS死亡率,分析其在不同特征居民中的时间趋势。户籍人口来源于山东省滕州市公安局,以2020年全国第7次人口普查数据计算年龄和性别标化死亡率。采用χ2检验比较死亡率差异,采用Cochran-Armitage趋势检验比较死亡率的时间趋势和年龄趋势。结果滕州市2013—2021年IS总体粗死亡率和标化死亡率均呈现时间变化趋势(Z值分别为12.647、7.305,均P<0.001),2021年比2019年分别下降了23.77%和30.99%(Z值分别为-7.393、-9.975,均P<0.001)。男性IS粗死亡率2019年比2017年升高了13.27%,女性IS粗死亡率和标化死亡率2018年比2017年分别下降了16.39%和19.49%,差异均有统计学意义(χ2值分别为7.160、9.789和15.109,均P<0.05);除2013、2015年IS粗死亡率外,其余年份男性IS粗死亡率和各年份标化死亡率均高于女性,差异均有统计学意义(χ2值为25.816~124.040,均P<0.001)。各年份IS粗死亡率均随年龄段增加而升高(Z值为42.604~61.025,均P<0.001)。年龄≥65岁IS死亡比例为85.85%。男性45~54岁年龄别IS粗死亡率呈时间变化趋势(Z=3.035,P<0.01),而同年龄段女性未呈时间变化趋势(P>0.05)。城区IS死亡率由2013年的62.61/10万下降到2021年的54.00/10万(Z=-2.097,P<0.05)。农村IS死亡率2019年比2013年升高了213.15%,2021年比2019年下降了22.75%(Z值分别为19.074、-6.390,均P<0.001)。结论2013—2021年,山东省滕州市IS死亡率城区呈下降趋势,农村2019年后呈下降趋势;相较于女性,男性45~54岁年龄段死亡率有年轻化趋势。应对男性和农村IS患者给予重点关注。
Objective Analyze the temporal trend of ischemic stroke(IS)mortality among the residents of Tengzhou City of Shandong Province during the period of hypertension control from 2013 to 2021.Methods On January 1,2013,Tengzhou City,Shandong Province,began its hypertension control program.The IS mortality rate was calculated using the mortality data from January 1,2013 to December 31,2021,and analyzed for its time trend among residents with different characteristics.The registered population was derived from the Public Security Bureau of Tengzhou City,Shandong Province,and the age and sex standardized mortality rate was calculated using the data of China′s 7th population census in 2020.The Chi-square test was used to compare the differences in mortality rate,and Cochran-Armitage trend test was used to compare the time trend and age trend of mortality rate.Results The overall crude and standardized mortality rates of IS in Tengzhou showed a temporal trend from 2013 to 2021(Z values were 12.647,7.305,respectively;all P<0.001),and decreased by 23.77%and 30.99%(Z values were-7.393,-9.975,respectively;all P<0.001)respectively in 2021 compared with 2019.The crude mortality rate of IS in male increased by 13.27%in 2019 compared with 2017,while the crude and standardized mortality rate in female decreased by 16.39%and 19.49%in 2018 compared with 2017,respectively,with statistical significance(χ2 values were 7.160,9.789,and 15.109,respectively;all P<0.05).Except the crude mortality rates in 2013 and 2015,the crude mortality rates and standardized mortality rates for males in other years were all higher than those for females,with statistically significant differences(χ2 values:25.816-124.040,all P<0.001).The crude mortality rate for IS increased with age in all years(Z values:42.604-61.025,all P<0.001).The proportion of IS deaths among those aged≥65 was 85.85%.The overall crude mortality rates of the age group of male 45-54 years old showed a temporal trend from 2013 to 2021(Z=3.035,P<0.01),while females in the same age g
作者
董芳
韩兴贵
徐玉銮
朱宏宇
叶树军
林琳
司福中
程俐
Dong Fang;Han Xinggui;Xu Yuluan;Zhu Hongyu;Ye Shujun;Lin Lin;Si Fuzhong;Cheng Li(Department of Neurology,Tengzhou City Traditional Chinese Medicine Hospital,Tengzhou,Shandong 277599,China;不详)
出处
《中国脑血管病杂志》
CAS
CSCD
北大核心
2024年第9期603-615,共13页
Chinese Journal of Cerebrovascular Diseases
基金
“重大新药创制”科技重大专项(2012ZX09101105)。
关键词
缺血性卒中
死亡率
流行病学研究
Ischemic stroke
Mortality rate
Epidemiological study
