2012—2021年北京市朝阳区居民脑卒中死亡特征及趋势分析  

Analysis on the characteristics and trends of stroke mortality among residents in Chaoyang District of Beijing City from 2012 to 2021

作　　者：孟海英[1] 姜晓红[1] 宋娟[1] 韦再华[2] 苏健婷[2] MENG Hai-ying;JIANG Xiao-hong;SONG Juan;WEI Zai-hua;SU Jian-ting(Chaoyang Center for Disease Control and Prevention,Beijing 100021,China;Beijing Center for Disease Control and Prevention,Beijing 100013,China.)

机构地区：[1]北京市朝阳区疾病预防控制中心,北京100021 [2]北京市疾病预防控制中心,北京100013

出　　处：《预防医学情报杂志》2023年第6期635-640,共6页Journal of Preventive Medicine Information

摘　　要：目的了解2012—2021年北京市朝阳区居民脑卒中死亡特征及变化趋势,为脑卒中防治提供参考。方法收集2012—2021年北京市朝阳区居民脑卒中死亡登记资料和人口资料,计算脑卒中的死亡率、标化死亡率、减寿年数、早死概率和年度变化百分比(APC)等指标来分析脑卒中的死亡特征及变化趋势。结果2012—2021年北京市朝阳区居民脑卒中粗死亡率55.01/105,标化死亡率25.15/105,男性高于女性(χ^(2)=269.18,P<0.001),2012—2021年脑卒中标化死亡率呈逐年下降的趋势(APC=-4.78%,P<0.001),60~79岁组脑卒中死亡率逐年降低(APC=-7.50%,P<0.001);80岁及以上年龄组有2个拐点,2013年比2012年脑卒中死亡率明显增高,2013—2016年脑卒中死亡率逐年下降(APC=-25.92%,P=0.026),2017—2021年逐年上升(APC=4.81%,P=0.019);缺血性脑卒中粗死亡率和标化死亡率均高于出血性脑卒中,P<0.001;男性脑卒中早死概率高于女性,女性脑卒中早死概率逐年下降(APC=-9.24%,P<0.001);出血性脑卒中早死概率高于缺血性脑卒中,缺血性脑卒中和出血性脑卒中早死概率均逐年下降(APC=-4.30%,P<0.001;APC=-2.96%,P=0.02);男性脑卒中减寿年数、平均减寿年数和减寿率均高于女性,女性脑卒中减寿率逐年降低(APC=-2.47%,P<0.001);缺血性脑卒中减寿率低于出血性脑卒中,缺血性和出血性脑卒中减寿率均逐年下降(APC=-2.76%,P=0.03;APC=-1.98%,P=0.02)。结论朝阳区脑卒中防治取得一定的效果,仍需加强男性、60岁及以上人群脑卒中的防治,重点关注出血性脑卒中对居民寿命损失的影响。Objective To understand the characteristics and change trend of stroke mortality of residents in Chaoyang District of Beijing from 2012 to 2021,and to provide reference for stroke prevention and treatment.Methods The stroke death registration data and demographic data of residents in Chaoyang District of Beijing from 2012 to 2021 were collected.The mortality rate,standardized mortality rate,years of life lost,probability of premature death and annual percentage change(APC)of stroke were calculated to analyze the mortality characteristics and trend of stroke.Results The crude mortality rate and standardized mortality rate of stroke in Chaoyang District of Beijing from 2012 to 2021 were 55.01/105 and 25.15/105,respectively,and the rates of males were higher than those of females(χ^(2)=269.18,P<0.001).The standardized mortality rate of stroke showed a downward trend year by year from 2012 to 2021(APC=-4.78%,P<0.001).The mortality rate of stroke in 60-79 years old group decreased year by year(APC=-7.50%,P<0.001).There were two inflection points for the age group of 80 years and above.The mortality rate of stroke in 2013 was significantly higher than that in 2012,decreased year by year from 2013 to 2016(APC=-25.92%,P=0.026),and increased year by year from 2017 to 2021(APC=4.81%,P=0.019).The crude mortality and standardized mortality of ischemic stroke were higher than those of hemorrhagic stroke(P<0.001).The probability of premature death from stroke in males was higher than that in females,and the probability of premature death from stroke in females decreased year by year(APC=-9.24%,P<0.001).The probability of premature death in hemorrhagic stroke was higher than that in ischemic stroke,and the probability of premature death in ischemic stroke and hemorrhagic stroke decreased year by year(APC=-4.30%,P<0.001;APC=-2.96%,P=0.02).The number of years of life lost,the average number of years of life lost and the rate of life lost of stroke in males were higher than those in females,and the rate of life lost of stroke in

关 键 词：脑卒中 死亡率 早死概率 减寿年数 趋势分析 

分 类 号：R195[医药卫生—卫生统计学]