2003—2012年首钢地区居民脑卒中死亡率变化趋势分析  

Trend of Stroke Mortality in Shougang District From 2003 to 2012

作　　者：王健松[1] 刘海行[1] 张慧英[1] 李红娟[1] 张炳珍[1] 刘小雨[2] 吴继荣[2] 高伟[3] 乔淑冬[3] 

机构地区：[1]北京大学首钢医院慢性病研究所,北京市100144 [2]石景山区疾病预防控制中心 [3]北京大学首钢医院神经内科,北京市100144

出　　处：《中国全科医学》2015年第36期4470-4474,共5页Chinese General Practice

基　　金：首都卫生发展科研专项(首发2011-4026-04);首钢总公司科技项目;北京市石景山区医学重点学科建设项目

摘　　要：目的分析2003—2012年首钢地区（首钢总公司职工居住区）居民脑卒中死亡率及其变化趋势,并评价首钢地区居民心脑血管疾病的防治效果。方法 2003—2012年首钢地区户籍人口脑卒中死亡数据和户籍人口数分别来源于石景山区疾病预防控制中心死因登记报告信息系统和石景山区统计局。采用回归分析方法计算脑卒中死亡率的变化趋势和年变化率。结果 2003—2012年首钢地区居民中共2 537例死于脑卒中,其中男1 474例（58.1%）,女1 063例（41.9%）。2003—2012年首钢地区居民标化死亡率为59.9/10万,男性为70.5/10万,女性为49.2/10万。2003—2012年首钢地区居民标化死亡率呈下降趋势,年平均下降幅度为3.6%（P=0.005）,女性下降幅度为4.9%（P=0.002）,男性下降幅度为2.5%（P=0.075）。10年间,55~64岁组和65~74岁组标化死亡率呈下降趋势（b=-0.071,P=0.015;b=-0.055,P=0.002）。结论 2003—2012年首钢地区居民脑卒中标化死亡率呈下降趋势,女性下降趋势明显,55岁以上居民呈下降趋势。首钢地区长期高血压管理可能是该地区脑卒中死亡率下降的原因。Objective To describe the trend of stroke mortality from 2003 to 2012 and evaluate the effect of cardiovascular prevention in Shougang District（ the residential district of workers in Shougang Group）. Methods The stroke death data and household registration data were obtained from death cause registration information system of Shijingshan District Center for Disease Control and Prevention and Shijingshan Bureau of Statistics respectively from 2003 to 2012. Annual changing rate and trend of stroke mortality were calculated by regression analysis. Results A total of 2 537 Shougang District resident died of stroke from 2003 to 2012 including 1 474（ 58. 1%） males and 1 063（ 41. 9%） females. After the standardization of age,overall stroke mortality of Shougang Aistrict resident was 59. 9 /100 000,with a stroke death rate of 70. 5 /100 000 among males and 49. 2 /100 000 among females from 2003 to 2012. Stroke Standardized mortality rate of Shougang District resident was down,with 3. 6%（ P = 0. 005） decrease every year,4. 9%（ P = 0. 002） decrease in female and 2. 5%（ P = 0. 075） decrease in male from 2003 to 2012. In the past decade alone,stroke mortality of 55- 64 and 65- 74 year groups kept a downward trend（ b=- 0. 071,P = 0. 015; b =- 0. 055, P = 0. 002）. Conclusion Age- standardized stroke mortality of Shougang District residents was in a declining trend from 2003 to 2012 and this trend was more obvious in women. The stroke mortality of 55 year group showed a downtrend in the last ten years. Long- term hypertension prevention and control of Shougang District residents is the possible influencing factors for declining stroke mortality.

关 键 词：卒中 死亡率 首钢地区 

分 类 号：R743[医药卫生—神经病学与精神病学]