2014—2020年连云港市脑卒中死亡特征和趋势分析

目的 了解连云港市脑卒中死亡特征和变化趋势，指导今后脑卒中防治工作。方法 利用“江苏省人口死亡登记信息系统”中2014—2020年连云港市脑卒中死亡资料，计算脑卒中粗死亡率，用2010年全国人口计算标化死亡率，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 2014—2020年连云港市脑卒中年均粗死亡率105.81/10万，标化死亡率89.14/10万。脑卒中标化死亡率呈下降趋势(APC=-10.84%,t=-5.382,P<0.001)。男性脑卒中死亡率高于女性(χ²=31.041,P<0.001)，男性、女性脑卒中标化死亡率均呈下降趋势(APC=-10.59%,t=-5.534,P<0.001;APC=-11.16%,t=-5.081,P<0.001)。农村地区脑卒中死亡率显著高于城市地区(χ²=230.022,P<0.001)。农村地区、城市地区脑卒中标化死亡率均呈下降趋势(APC=-8.37%,t=-4.973,P<0.001;APC=-24.30%,t=-6.641,P<0.0...

Analysis of the epidemiological characteristics and trend of stroke mortality in Lianyungang from 2014 to 2020

Objective To investigate the epidemiological characteristics and trend of stroke mortality in Lianyungang from 2014 to 2020, to guide the future prevention and treatment of stroke in Lianyungang. Methods The data of stroke in Lianyungang from 2014 to 2020 were from Death Monitoring System of Jiangsu Province. We calculated the mortality, and the China Census in 2010 was applied for age-standardized mortality. Annual percent change and trend methods were used to evaluate the trend of mortality change. Results The average annual crude mortality and standardized mortality of stroke were 105.81/105 and 89.14/105, and the standardized mortality of stroke showed a downward trend in Lianyungang from 2014 to 2020 (APC=－10.84%, t=－5.382, P<0.001). The stroke mortality of male was significantly higher than that of female (χ2=31.041, P<0.001). The stroke standardized mortality of male and female both declined in Lianyungang from 2014 to 2020 (APC=－10.59%, t=－5.534, P<0.001; APC=－11.16%, t=－5.081, P<0.001). The stroke mortality in rural area was significantly higher than that in urban area (χ2=230.022, P<0.001). The standardized mortality of stroke in rural and urban areas showed downward trends, (APC=－8.37%, t=－4.973, P<0.001; APC=－24.30%, t=－6.641, P<0.001). The mortality rate of ischemic stroke was significantly higher than that of hemorrhagic stroke (χ2=4 841.673, P<0.001). The standardized mortality of ischemic and hemorrhagic stroke both went down significantly in Lianyungang from 2014 to 2020 (APC=－9.83%, t=-4.423, P<0.05; APC=－11.70%, t=－6.862, P<0.001). Conclusion From 2014 to 2020, the death rate of cerebral stroke in Lianyungang shows a decreasing trend. Male residents and rural residents will be the key population of stroke prevention and treatment in Lianyungang in the future.