2014－2020年河北省死因监测点居民脑卒中死亡趋势分析

马小焱; 张帆; 唐丽娟; 曹亚景; 蒋东升; 张一曼; 崔泽

doi:10.3784/jbjc.202205180227

2014－2020年河北省死因监测点居民脑卒中死亡趋势分析

Mortality trend of stroke in residents in death cause surveillance areas in Hebei, 2014−2020

摘要

摘要:
目的描述并分析河北省死因监测点居民脑卒中死亡趋势，为脑卒中防治工作提供依据。
方法本研究通过收集汇总河北省死因监测点居民2014—2020年的脑卒中（ICD-10编码为I60～I64）死亡数据，采用Excel 2010和SPSS 22.0软件计算脑卒中死亡率、标化死亡率、年龄别死亡率及不同类型脑卒中死亡率，采用χ²检验对组间死亡率进行比较，采用年度变化百分比（APC）对居民脑卒中死亡趋势变化进行分析。
结果 2014—2020年河北省死因监测点居民脑卒中年均死亡率为122.82/10万（标化死亡率107.78/10万），其中男性年均死亡率为137.83/10万（标化死亡率121.94/10万），女性年均死亡率为107.26/10万（标化死亡率93.72/10万）。男性死亡率均高于女性，差异有统计学意义（P<0.001）。脑卒中死亡率及标化死亡率均随时间变化呈下降趋势，差异有统计学意义（APC=−1.00%，P=0.015；APC=−5.90%，P<0.001）。 2014—2020年45～64岁、65～84岁及≥85岁年龄组居民脑卒中死亡率随年份增加均呈下降趋势，差异有统计学意义（APC=−3.90%，P=0.008；APC=−9.10%，P<0.001；APC=−4.10%，P=0.004）。出血性脑卒中为主要死亡类型，其死亡率及标化死亡率均随时间变化呈下降趋势，差异有统计学意义（APC=−1.90%，P=0.004；APC=−6.40%，P<0.001）。
结论河北省死因监测点居民脑卒中死亡率呈下降趋势，应加强对男性居民及≥65岁老年群体的重点筛查与监测，降低脑卒中死亡水平。

Abstract:
Objective To describe and analyze the trend of stroke mortality in residents in death cause surveillance areas in Hebei province, and provide references for stroke prevention and control.
Methods This study collected the mortality data of stroke (ICD-10 code: I60–I64) from 2014 to 2020 in residents in death cause surveillance areas in Hebei province. Excel and SPSS 22.0 were used to calculate the mortality rate, standardized mortality rate, age-specific mortality rate and type specific mortality rate of stroke. The mortality rates between groups were compared with χ² test, and percentage of annual change (APC) was used to analyze the trend of stroke mortality in the residents.
Results From 2014 to 2020, the average annual mortality rate of stroke in residents in death cause surveillance areas in Hebei was 122.82/100 000 (the standardized mortality rate: 107.78/100 000), the average annual mortality rate was 137.83/100 000 in men (the standardized mortality rate: 121.94/100 000) and 107.26/100 000 in women (the standardized mortality rate: 93.72/100 000). The mortality rate was higher in men than in women, the difference was significant (P<0.001). The mortality rate and standardized mortality rate of stroke all showed decreasing trends over time, and the differences were significant (APC=−1.00%, P=0.015; APC=−5.90%, P<0.001). From 2014 to 2020, the mortality of stroke in residents aged 45-64, 65-84 and ≥85 years all showed downward trends, and the differences were significant (APC=−3.90%, P=0.008; APC=−9.10%, P<0.001; APC=−4.10%, P=0.004). Hemorrhagic stroke was the main type causing death, and the mortality rate and standardized mortality rate of hemorrhagic stroke all showed downward trends with time, the differences were significant (APC=−1.90%, P=0.004; APC=−6.40%, P<0.001).
Conclusion The mortality rate of stroke in residents in death cause surveillance areas in Hebei showed a decreasing trend. It is necessary to strengthen the screening and surveillance in men and in the elderly aged over 65 years to reduce the mortality rate of stroke.

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