2008-2017年苏州市脑卒中发病率和死亡率变化趋势分析

目的 分析2008-2017年苏州市居民脑卒中发病率和死亡率变化趋势。方法 对苏州市居民死亡登记及脑卒中监测资料进行汇总,采用趋势检验和年度变化百分比(APC)分析时间变化趋势。结果 (1)2008-2017年苏州市居民脑卒中粗发病率427.31/10万,标化发病率264.92/10万,有逐年上升趋势(APC=3.9%,P<0.001)。男性脑卒中发病率(粗发病率402.28/10万,标化发病率285.57/10万)高于女性(粗发病率453.14/10万,标化发病率243.27/10万);缺血性脑卒中发病率高于出血性脑卒中,且呈逐年上升趋势。(2)2008-2017年苏州市居民脑卒中粗死亡率93.87/10万,标化死亡率51.29/10万,呈逐年下降趋势(APC=-9.0%,P<0.001)。男性脑卒中粗死亡率(92.63/10万)低于女性(95.08/10万),标化死亡率(53.46/10万)高于女性(49.03/10万)。出血性脑卒中死亡率(粗死亡率为35.85/10万,标化死亡率为20.79/10万)高于缺血性脑卒中(粗死亡率26.84/10万,标化死亡率14.14/10万),出血性脑卒中死亡率呈下降趋势。结论 2008-2017年苏州市居民脑卒中发病率呈上升趋势,死亡率呈下降趋势。

Trend analysis on the morbidity and mortality of stroke in Suzhou,2008-2017

Objective To evaluate the morbidity and mortality trend of stroke between 2008 and 2017 in Suzhou residents.Methods According to the data of death cause and the incidence data of stroke from Suzhou Disease Surveillance System,annual percent change and trend methods were used to evaluate the trend of morbidity and mortality change.Results Stroke morbidity in Suzhou increased from 2008 to 2017 with the crude incidence rate of 427.31/100000 and standardized incidence rate of 264.92/100 000(APC=3.9%,P<0.001).The stroke incidence rate was consistently higher in men than that in women(P<0.001).The incidence rate of ischemic stroke was consistently higher than hemorrhagic stroke(P<0.001).Ischemic stroke incidence increased significantly.Stroke mortality in Suzhou declined from 2008 to 2017 with the crude mortality rate of 93.87/100000 and standardized mortality rate of 51.29/100000(APC=-9.0%,P<0.001).The crude mortality rate of stroke was consistently higher in women(95.08/100000)than that in men(92.63/100000),but the standardized mortality rate was higher in men(53.46/100000)than that in women(49.03/100000,and both P<0.001).The crude mortality rate of hemorrhagic stroke was 35.85/100000 and the standardized mortality rate of it was 20.79/100000.The crude mortality rate of ischemic stroke was 26.84/100000 and the standardized mortality rate of it was 14.14/100000.The mortality rate of hemorrhagic stroke was consistently higher than ischemic stroke(P<0.001).Hemorrhagic stroke mortality declined significantly.Conclusion The incidence of stroke increases,while the mortality of stroke declines in Suzhou from 2008 to 2017.