2014 - 2018年江西省脑卒中死亡情况及疾病负担分析

目的 掌握2014 - 2018年江西省脑卒中死亡情况及所致疾病负担。方法 以江西省20个国家死因监测县（区）2014 - 2018年常住居民脑卒中死因监测数据和人口学信息为基础，采用死亡数、死亡率、标化死亡率、潜在减寿年数（PYLL）、减寿率（PYLLR）和平均潜在减寿年数(AYLL)等指标进行描述，卡方检验进行比较分析。结果 2014 - 2018年江西省脑卒中年均粗死亡率为114.286/10万，年均标化死亡率为108.912/10万；以出血性脑卒中为主（占56.040%，年均粗死亡率64.046/10万）；脑卒中年均粗死亡率呈逐年上升趋势（χ2趋势=236.559，P＜0.001），脑卒中后遗症上升速度最快（年均增长率21.759%）。脑卒中死亡率均为男性高于女性（χ2 = 566.663，P＜0.001）；农村高于城市（χ2 = 434.133，P＜0.001）；随年龄增加而升高（χ2 = 578670.193，P＜0.001）；冬春季高于夏秋季（χ2 = 603.930，P＜0.001）。脑卒中PYLL为309762.00人年，PYLLR为7.64‰，AYLL为15.70年/人，其中出血性脑卒中均位居首位（215 765.00人年、5.32‰、16.77年/人）；男性PYLL、PYLLR、AYLL（209 820.50人年、10.09‰、16.08年/人）均高于女性（99 941.50人年、5.06‰、14.96年/人）；PYLL及PYLLR均为农村（211 960.00人年、8.02‰）高于城市（97802.00人年、6.92‰），AYLL城市（16.76年/人）高于农村（15.26年/人）。结论 江西省常住居民脑卒中死亡负担重，冬春季高发，应关注男性、农村、中老年及城市中青年的重点科学防控，采取有针对性措施，降低脑卒中发生和死亡。

Analysis on stroke mortality and disease burden in Jiangxi province from 2014 to 2018

The aim of this study was to understand the mortality and disease burden caused by stroke in Jiangxi province from 2014 to 2018. Methods Data on the cause of death of stroke and demographic information from 2014 to 2018 were collected from 20 national-level death monitoring counties(districts) in Jiangxi province. Death toll, mortality, standardized mortality, potential years of life lost(PYLL), potential years of life lost rate(PYLLR) and average years of life lost(AYLL) were used for analysis. Chi-square test was used for comparative analysis. Results Stroke deaths accounted for 20.021% of all deaths in Jiangxi province from 2014 to 2018. The average crude mortality of stroke was 114.286/100,000, and the standardized mortality was 108.912/100,000. the main type of stroke was hemorrhagic stroke(accounting for 56.040%, the average crude mortality was64.046/100,000) with an increasing trend(χ2 trend=236.559, P<0.001), and the sequential of stroke increased the fastest(with an average annual growth rate of 21.759%). The stroke mortality by year or by average year for male in Jiangxi province was higher than that for female(χ2=566.663, P<0.001). The stroke mortality in rural areas were higher than that in urban areas(χ2=434.133, P<0.001), which was increased with age(χ2= 578670.193, P<0.001). The distribution was seasonal. The stroke mortality in winter and spring was significantly higher than that in summer and autumn(χ2=603.930, P<0.001). The PYLL of stroke was 96540.0 personyears, PYLLR was 11.51‰, and AYLL was 15.70 years per person. PYLL, PYLLR and AYLL were higher in males(209820.50 person-years, 10.09‰,16.08 years per person) than those in females(99941.50 person-years, 5.06‰, 14.96 years per person).And hemorrhagic cerebral apoplexy ranked the first(215765.00 person-years, 5.32‰, 16.77 years per person). PYLL and PYLLR were higher in rural areas(211960.00 person-years, 8.02‰) than those in urban areas(97802.00 person-years, 6.92‰). AYLL was higher in town(16.76 years per person) than that in the countryside(15.26 years per person). Conclusion The death burden of stroke in permanent residents in Jiangxi province was heavy. Stroke mortality was high in winter and spring. We should take more attention to strengthen the scientific prevention and control for male, residents in rural areas, middle-aged and elderly, young and middle-aged people in urban areas, and take targeted measures to reduce the incidence and death of stroke.