2019年郑州市二七区脑卒中发病和死亡监测

Monitoring on the incidence and mortality of stroke in Erqi District of Zhengzhou City in 2019

目的了解2019年郑州市二七区居民脑卒中发病和死亡情况。方法收集河南省慢性病监测信息管理系统报告的2019年郑州市二七区脑卒中监测数据,应用SPSS 20.0统计软件对发病率和死亡率进行统计分析,采用全国2010年第六次人口普查的人口构成计算年龄标化率。结果2019年二七区脑卒中发病率和标化发病率分别为645.61/10万和508.28/10万,死亡率和标化死亡率分别为73.40/10万和49.20/10万,男性发病率和死亡率均高于女性(χ^(2)值分别为202.266和18.830,均P<0.05)。脑卒中的发病率和死亡率40岁后均随着年龄的增长逐渐升高,60岁后上升速度加快,≥60岁人群脑卒中的发病数和死亡数分别占总人群的73.20%和87.40%。脑卒中发病和死亡均以缺血性脑梗死为主要类型,脑梗死的发病数和死亡数分别占脑卒中总数的81.18%和61.36%。结论老年男性是二七区脑卒中防控重点对象,应加强对重点人群的健康教育和健康管理,降低脑卒中发病率。

Objective To understand the incidence and mortality of stroke in Erqi district of Zhengzhou city in 2019.Methods The data of morbidity and mortality of stroke were collected from the chronic disease monitoring information management system of Henan province.SPSS 20.0 was used to analyze the data.The age-standardized rates were calculated based on the data of the sixth national population census in 2010.Results The incidence rate and standardized incidence rate of stroke in Erqi district in2019 were 645.61/105 and 508.28/105,respectively,and the mortality and standardized mortality rates were 73.40/105 and 49.20/105 separately.Specifically,the incidence and mortality rates in males were higher than those in females(χ^(2)were 202.266 and18.830,respectively,P<0.05).Besides,incidence and mortality of stroke increased gradually with age after 40 years of age,and rose faster after 60 years of age,and peaked at 80 years of age.The number of cases and deaths of stroke among the elderly people over 60 years old accounted for 73.20%and 87.40%of the total,respectively.Cerebral infarction was the main cause for the incidence and death of stroke.The incidence and death of cerebral infarction accounted for 81.18%and 61.36%of the total number of stroke,respectively.Conclusion.Elderly men are the key targets of prevention and control in Erqi district.Health education and health management should be strengthened to reduce the incidence rate of stroke.