摘要
目的分析2010—2020年深圳市南山区脑卒中死亡及寿命损失变化趋势,为南山区脑卒中综合防控工作的开展提供依据。方法2010—2020年南山区脑卒中的死亡数据来自深圳市慢性病防治管理系统。使用Excel 2019软件、R软件V 4.2.0进行数据整理、分析和绘图。计算粗死亡率、早死所致寿命损失年(YLL),采用年度变化百分比(APC)和平均年度变化百分比(AAPC)进行趋势分析。结果2010—2020年南山区共有1301人因脑卒中死亡,其中男性780人,女性521人,平均死亡年龄(68.0±16.6)岁,男性为(65.8±16.5)岁,女性为(71.3±16.2)岁。2020年南山区脑卒中死亡率为8.18/10万,中标率为16.64/10万,世标率为12.37/10万。2010—2020年男性居民脑卒中死亡率、YLL率均高于女性;出血性脑卒中死亡率、YLL率均高于缺血性脑卒中。2010—2014年脑卒中死亡率呈上升趋势(APC=47.90%,P<0.05),2014—2020年脑卒中死亡率变化趋势无统计学意义(APC=-7.89%,P>0.05)。2010—2015年脑卒中YLL率呈上升趋势(APC=27.30%,P<0.05),2015—2020年脑卒中YLL率呈下降趋势(APC=-16.57%,P<0.05)。结论南山区脑卒中死亡率、YLL率较高,2014年以后脑卒中死亡率保持相对稳定,2015年以后YLL率呈下降趋势;男性居民以及出血性脑卒中患者是重点关注对象。
Objective To analyze the change trend of death and life loss caused by stroke in Nanshan district of Shenzhen city from2010 to 2020,and provide the basis for the implementation of stroke prevention and control in Nanshan district.Methods The data of stroke death in Nanshan district from 2010 to 2020 were from the chronic diseases management system of Shenzhen.Excel2019 software and R software V 4.2.0 were used to arrange,analyze and draw of data.The crude mortality rate,years of life lost due to early death(YLL)were calculated,and the trend analysis was performed by annual percentage change(APC)and average annual percentage change(AAPC).Results From 2010 to 2020,1301 residents(male:780 cases;female:521 cases)died of stroke in Nanshan district of Shenzhen,the average age of death were(68.0±16.6)years old;male:(65.8±16.5)years old;female:(71.3±16.2)years old.In 2020,the stroke mortality rate in Nanshan district was 8.18/105,the standardized rate of Chinese population was 16.64/105,and the standardized rate of world population was 12.37/105.From 2010 to 2020,the mortality rate and YLL rate of stroke in males were significantly higher than those in females;the mortality rate and YLL rate of hemorrhagic stroke were significantly higher than those of ischemic stroke.Stroke mortality increased from 2010 to 2014(APC=47.90%,P<0.05),there was no significant difference of stroke mortality from 2014 to 2020(APC=-7.89%,P>0.05).The YLL rate of stroke increased significantly from 2010 to 2015(APC=27.30%,P<0.05),and decreased significantly from 2015 to 2020(APC=-16.57%,P<0.05).Conclusion The stroke mortality rate,and YLL rate in Nanshan district were higher,stroke mortality remained relatively stable after 2014,and after 2015 YLL rates showed a decreasing trend;and male residents and hemorrhagic stroke patients were the focus.
作者
赵信星
陈洪恩
董晓
邹泉
徐珊
吴静
王长义
梁晓峰
ZHAO Xin-xing;CHEN Hong-en;DONG Xiao;ZOU Quan;XU Shan;WU Jing;WANG Chang-yi;LIANG Xiao-feng(School of Public Health,Shanxi Medical University,Taiyuan,Shanxi Province 030001,China;不详)
出处
《中国慢性病预防与控制》
CAS
CSCD
北大核心
2023年第1期42-46,50,共6页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
南山区医学重点学科建设资助项目
深圳市医疗卫生三名工程(SZSM201803080)
南山区卫生科技计划资助(2020008,NS2021051,NS2021108)
深圳市科创委科技计划项目资助(YCJY20210324125810024)
广东省自然科学基金项目资助(2022A1515011273)。
