上海脑卒中急性期死亡的流行病学研究  

Epidemiology of Stroke Motality in Shanghai

作　　者：曾军[1] 洪震[1] 黄茂盛[1] 周玢[1] 金美华[1] 沈明庭[1] 吕传真[1] 

机构地区：[1]复旦大学神经病学研究所,200040

出　　处：《中国临床神经科学》2001年第4期338-340,共3页Chinese Journal of Clinical Neurosciences

基　　金：国家九五攻关课题(96-906-02-0l)

摘　　要：目的:报告上海市区人群脑卒中急性期死亡的监测结果.方法:在上海市选取社区人群共91 428人进行长达4年的脑卒中疾病监测.结果:4年共发现脑卒中7&例,其中急性期死亡277例.脑出血与脑梗死病死率分别为60.3%与22.5%.男性发病率与死亡率均高于女性.两类脑卒中的死亡率均随着年龄的增大而上升.急性期死亡者生存天数在0～2 d的频数分布累计为50.9%.结论:随着年龄的增大,脑卒中死亡率上升,男性死亡率高于女性,脑出血死亡率和病死率高于脑梗死.Aim:To report the stroke mortality by surveillance in Shanghai. Methods: Community-based surveillance was implemented in 91 428 people in three communities in Shanghai during 1996 to 1999. Results: A total of 778 stroke events and 277 fatal events were registered during 4 years. Case fatality rates of intracerebral hemorrhage was 60.3% , and of ischemic stroke was 22.5% . There are significant differences between the two stroke subtypes. There are similar results among women. In the fatal events, the proportion of the survival days within 0 - 2 days accounted for 50.9% . Conclusion :The incidence and mortality rates of stroke were increased with age, the mortality rates among men were higher that those among women, mortality rates and case fatality rates of intracerebral hemorrhage were higher than those of ischemic stroke, more than half fatal events died within 48 hours.

关 键 词：脑卒中 死亡率 病死率 急性期 流行病学 

分 类 号：R743.3[医药卫生—神经病学与精神病学]