2015—2019年中国10个监测点人群脑卒中发病情况分析  

Analysis on stroke incidence in 10 surveillance sites in China,2015—2019

作　　者：王薇[1] 程珺霞 颜流霞[1] 陈晓荣[1] 贺媛 介万 厚磊[1] 王增武 吴静[1] WANG Wei;CHENG Jun-xia;YAN Liu-xia;CHEN Xiao-rong;HE Yuan;JIE Wan;HOU Lei;WANG Zeng-wu;WU Jing(National Center for Chronic and Noncommunicable Disease Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 100050,China)

机构地区：[1]中国疾病预防控制中心慢性非传染性疾病预防控制中心,北京100050 [2]包头医学院 [3]中国医学科学院阜外医院

出　　处：《现代预防医学》2022年第24期4524-4528,共5页Modern Preventive Medicine

摘　　要：目的了解2015—2019年中国10个监测点人群脑卒中发病率的变化趋势,为制定相关防控政策措施提供依据。方法2015—2019年中国浙江、四川、河北、江苏和湖北5个省的10个监测点脑卒中数据来源于中国CDC“国家心脑血管事件登记报告系统”。计算10个监测点急性脑卒中事件的发病率和标化发病率。男性和女性两组间率的比较采用χ2检验。趋势变化分析采用年度变化百分比。结果2015—2019年10个监测点脑卒中年均报告发病率为502.25/l0万,标化发病率为388.36/10万。脑卒中标化发病率以年均2.47%的比例下降(t=-3.673,P=0.035)。各年度男性脑卒中发病率均高于女性。脑卒中的发病率随着年龄的增长呈上升趋势。缺血性脑卒中和出血性脑卒中分别占总报告事件的77.39%和20.48%,出血性脑卒中发病率随时间呈明显下降趋势(APC=-4.11%,P=0.029)。结论2015—2019年中国10个监测点人群脑卒中标化发病率总体呈下降趋势。监测点脑卒中防控措施应以男性、老年人群为主要目标人群。Objective To understand the changing trend of stroke incidence in 10 surveillance sites in China from 2015 to2019,and to provide basis for the formulation of relevant prevention and control policies and measures.Methods Stroke data from 10 monitoring sites in Zhejiang,Sichuan,Hebei,Jiangsu,and Hubei provinces from 2015 to 2019 were collected from CDC national cardiovascular and cerebrovascular event registration and reporting system.The incidence and standardized incidence of acute stroke events were calculated.The rates between male and female groups were compared byχ~2test,and the trend change analysis was performed based on annual change percentage(APC).Results From 2015 to 2019,the average annual reported incidence of stroke was 502.25/100000,and the standardized incidence was 388.36/100000.The standardized morbidity of stroke decreased annually by 2.47%(P=0.035).Every year,the stroke incidence of males was significantly higher than that of females(P<0.001).The incidence of stroke increased with the increase of age.Ischemic stroke and hemorrhagic stroke accounted for 77.39%and 20.48%of the total reported events,respectively,and the morbidity of hemorrhagic stroke decreased significantly over time(APC=-4.11%,P=0.029).Conclusion From 2015 to 2019,the standardized incidence of stroke in the 10 monitoring sites shows a downward trend.Men and the elderly are the main target groups for stroke prevention and control.

关 键 词：脑卒中 发病率 年度变化百分比 

分 类 号：R743.3[医药卫生—神经病学与精神病学]