2014—2021年四川省脑卒中死亡率及寿命损失趋势分析  

Trend analysis on the mortality and life lost of stroke in Sichuan Province from 2014 to 2021

作　　者：李梦芬 邓颖[2] 查雨欣 曾晶[2] 祁冰洁 秦小雲 何予晋 LI Mengfen;DENG Ying;ZHA Yuxin;ZENG Jing;QI Bingjie;QIN Xiaoyun;HE Yujin(Hechuan District Center for Disease Control and Prevention,Chongqing 401519,China;Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China.)

机构地区：[1]重庆市合川区疾病预防控制中心,重庆401519 [2]四川省疾病预防控制中心,成都610041

出　　处：《预防医学情报杂志》2024年第11期1422-1428,共7页Journal of Preventive Medicine Information

摘　　要：目的分析四川省脑卒中死亡分布特点及寿命损失变化趋势,为脑卒中防控提供建议。方法数据来源于中国疾病预防控制信息系统人口死亡信息登记管理系统,选取2014—2021年四川省31个国家级死因监测点全部常住居民死亡个案。按照《国际疾病分类第十次修订版》(ICD-10)进行疾病分类。采用SPSS 26.0软件进行统计分析,组间比较采用χ^(2)检验。采用年度变化百分比(APC)对死亡率年均变化情况进行描述,检验水准α=0.05。结果脑卒中标化死亡率由2014年133.58/10万下降至2021年101.21/10万(APC=-4.22%,P<0.001)。历年粗死亡率和标化死亡率是男性高于女性、农村高于城市(P均<0.001),男性、女性脑卒中标化死亡率分别以年均3.11%和4.45%的速度下降,城市、农村地区脑卒中标化死亡率分别以年均4.85%和3.53%的速度下降(P均<0.05)。出血性脑卒中粗死亡率、标化死亡率、构成比、YLL率呈下降趋势(P均<0.001),缺血性脑卒中均呈上升趋势(P<0.001)。脑卒中粗死亡率随着年龄增长而升高,35~44岁组、55~64岁组、65~74岁组、75~84岁组和85岁及以上组死亡率呈明显下降趋势(P均<0.05)。结论四川省脑卒中标化死亡率呈下降趋势,缺血性脑卒中呈上升趋势,男性、农村居民和中老年人群是脑卒中防治重点人群。Objective To analyze the distribution characteristics and trends of life lost of stroke deaths in Sichuan Province,and to provide suggestions for prevention and control of stroke.Methods Data were collected from the death information Registration and management system of China Disease Prevention and Control Information System.Death cases of all permanent residents from 31 national cause-of-death monitoring sites in Sichuan Province from 2014 to 2021 were selected.Diseases classifications are based on“The International Statistical Classification of Diseases and Related Health Problems 10th Revision”(ICD-10).SPSS 26 software was used for statistical analysis,andχ^(2)test was used for rate comparison between groups.Annual percentage change(APC)was used to describe the annual change in mortality.Results The standardized mortality of stroke decreased from133.58/105in 2014 to 101.21/105in 2021(APC=-4.22%,P<0.001).The crude mortality and standardized mortality of stroke were higher in males than in females(all P<0.001),and the standardized mortality of stroke in males and females decreased at an annual rate of 3.11%and 4.45%,respectively.The crude mortality and standardized mortality of stroke were higher in rural areas than in urban areas(P<0.001),and the standardized mortality of stroke in urban and rural areas decreased at an annual rate of 4.85%and 3.53%(all P<0.05).The crude mortality,standardized mortality,composition ratio and years of life lost rate of hemorrhagic stroke(HS)all showed a decreasing trend(all P<0.001),whereas those indexes of ischemic stroke(IS)all showed an upward trend(P<0.001).The crude mortality of stroke increased with age,but the mortality showed a significant decreasing trend in the age groups of 35-44,55-64,65-74,75-84 and≥85 years(all P<0.05).Conclusions The standardized mortality of stroke was decreasing in Sichuan Province,but the standardized mortality of IS was on the rise.Males,rural residents,middle aged and elderly people are the key groups for stroke prevention and treatmen

关 键 词：脑卒中 死亡率 趋势分析 年度变化百分比 寿命损失 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R181.3[医药卫生—临床医学]