2015—2022年永康市脑卒中发病趋势分析  

Trend in incidence of stroke in Yongkang City from 2015 to 2022

作　　者：陈璐 陈瑶瑶 CHEN Lu;CHEN Yaoyao(Department of Non-communicable Disease Control and Prevention,Yongkang Center for Disease Control and Prevention,Yongkang,Zhejiang 321000,China;Yongkang Center for Disease Control and Prevention,Yongkang,Zhejiang 321000,China)

机构地区：[1]永康市疾病预防控制中心慢性非传染性疾病防制科,浙江永康321000 [2]永康市疾病预防控制中心,浙江永康321000

出　　处：《预防医学》2024年第1期74-77,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的了解2015—2022年浙江省永康市脑卒中发病趋势,为完善脑卒中防治策略提供依据。方法通过浙江省慢性病监测信息系统收集2015—2022年永康市脑卒中发病资料,采用2010年第六次全国人口普查数据进行标化,分析永康市脑卒中发病的性别和年龄分布,以及不同亚型脑卒中发病率;采用平均年度变化百分比(AAPC)分析脑卒中发病趋势。结果2015—2022年永康市报告脑卒中发病22408例,粗发病率为457.97/10万,标化发病率为379.55/10万;脑卒中粗发病率呈上升趋势(AAPC=6.447%,P<0.05)。男性脑卒中粗发病率为495.97/10万,高于女性的417.58/10万(P<0.05);男性脑卒中标化发病率为425.29/10万,高于女性的332.49/10万(P<0.05);永康市脑卒中病例年龄为(70.74±12.64)岁,脑卒中粗发病率随年龄增长呈上升趋势(P<0.05),其中30~<45岁居民脑卒中粗发病率呈上升趋势(AAPC=6.142%,P<0.05)。2015—2022年报告缺血性脑卒中18040例,占80.51%;出血性脑卒中4121例,占18.39%;未分类脑卒中247例,占1.10%。缺血性脑卒中粗发病率为368.70/10万,高于出血性脑卒中的84.22/10万(P<0.05),缺血性脑卒中粗发病率呈上升趋势(AAPC=7.851%,P<0.05)。结论2015—2022年永康市脑卒中粗发病率呈上升趋势,以缺血性脑卒中为主,男性和老年人是脑卒中防治的重点人群。Objective To investigate the trend in incidence of stroke in Yongkang City,Zhejiang Province from 2015 to 2022,so as to provide the evidence for improving stroke prevention and treatment strategies.Methods The incidence of stroke in Yongkang City from 2015 to 2022 was collected through the Zhejiang Chronic Disease Monitoring Information System,and standardized by the data of the Chinese National Population Census in 2010.The incidence of stroke in gender-,age-and subtype-specific was analyzed,and the incidence trend of stroke was analyzed by average annual percentage change(AAPC).Results A total of 22408 stroke cases were reported in Yongkang City from 2015 to 2022,with crude incidence of 457.97/105 and standardized incidence of 379.55/105.The crude incidence of stroke appeared a tendency towards a rise(AAPC=6.447%,P<0.05).The crude incidence of stroke was higher among males than females(495.97/105 vs.417.58/105,P<0.05),and the standardized incidence of stroke was higher among males than females(425.29/105 vs.332.49/105,P<0.05).The average age of stroke cases was(70.74±12.64)years.The crude incidence of stroke appeared a tendency towards a rise with age(P<0.05),and which in residents aged 30 to 44 years showed an increasing trend(AAPC=6.142%,P<0.05).There were 18040 cases of ischemic stroke(80.51%),4121 cases of hemorrhagic stroke(18.39%)and 247 cases of unclassified stroke(1.10%)reported from 2015 to 2022.The crude incidence of ischemic stroke was higher than which of hemorrhagic stroke(368.70/105 vs.84.22/105,P<0.05).The crude incidence of ischemic stroke appeared a tendency towards a rise(AAPC=7.851%,P<0.05).Conclusions The crude incidence of stroke appeared a tendency towards a rise in Yongkang City from 2015 to 2022,with ischemic stroke as the predominant subtype.Male and the elderly should be given a high priority for stroke control.

关 键 词：脑卒中 发病率 流行特征 

分 类 号：R743.3[医药卫生—神经病学与精神病学]