2008 - 2017年贵州省黔南州居民脑卒中死亡率及变化趋势分析

目的 分析2008 - 2017年贵州省黔南州居民脑卒中死亡率及其变化趋势，为制定心脑血管病的防治提供临床病学依据。方法 提取贵州省黔南州全死因监测管理系统中2008 - 2017年居民脑卒中死亡登记资料进行分析，计算死亡率、年龄性别死亡率、标化死亡率和年底变化百分比等，并进行趋势分析。结果 2008 - 2017年贵州省黔南州居民脑卒中死亡22 023例（男性12 774例，女性9 249例），死亡率为68.09/10万（缺血性脑卒中45.16/10万，出血性脑卒中22.93/10万），标化率为65.26/10万（缺血性脑卒中44.22/10万，出血性脑卒中21.04/10万）。10年中死亡率和标化率APC分别为 - 2.67%、 - 3.95%。各年龄段脑卒中死亡率呈上升趋势，61～65岁年龄段陡然升高，71～75岁呈现峰值，76岁及以上开始下降。男性和女性各年龄段死亡率上升趋势基本一致。结论 2008 - 2017年期间贵州省黔南州居民脑卒中死亡率总体呈现一定下降趋势，应将60岁以上年龄段人群作为脑卒中死亡的重点关注人群。

Analysis of stroke mortality and its trend in Qiannan of Guizhou province from 2008 to 2017

Objective The aim of this study was to analyze the mortality rate and trend of stroke among residents in Qiannan of Guizhou province from 2008 to 2017, and provide clinical evidence for the prevention and treatment of cardiovascular and cerebrovascular diseases. Methods The registration data of stroke deaths from 2008 to 2017 were extracted from the whole-cause monitoring and management system of stroke in Qiannan of Guizhou province. Gender and age analysis was conducted. Mortality, age-sex mortality, standardized mortality rate were calculated. The percentage change at the end of the year and trend analysis were performed. Results The cerebral apoplexy death cases were 22023(males 12,774, female 9249). The mortality rate was 68.09/100,000(45.16/100,000 of ischemic stroke, 22.93/100,000 of hemorrhagic stroke), and the standardized rate was 65.26/100,000(44.22/100,000 of ischemic stroke, 21.04/100,000 of hemorrhagic stroke). During the decade, the mortality rate and the standardized rate of APC were -2.67% and -3.95%, respectively. The mortality rate of cerebral apoplexy among all ages was increasing. The age range of 61-65 was sharply higher, and the peak age ranged from 71 to 75 years. The age of 76 and above began to decline. The upward trend of mortality in males and females was basically the same at all ages. Conclusion The mortality rate of stroke among residents in Qiannan of Guizhou province showed a certain downward trend during 2008-2017. People above 60 years old age should be regarded as the focus of stroke deaths.