江苏省部分地区女性脑卒中发病与死亡监测

Surveillance on stroke incidence and mortality in some areas of Jiangsu

目的 了解江苏省部分地区女性人群脑卒中发病率和死亡率以及发病率与危险因素强度之间的联系。方法 采用女性脑卒中人群监测 (MONICA)诊断标准 ,通过三级监测网对目标人群脑卒中发病进行登记监测 ,并分析女性脑卒中死亡率、发病率以及出血型脑卒中发病危险因素水平的地区差异。结果 苏北、苏南监测区女性脑卒中标化发病率均高于江苏全省 ,苏南监测区女性脑卒中标化发病率与全国高发区相近 ;苏南监测区首次发作出血型脑卒中病例 ,口服避孕药史者的比率、平均收缩压、平均舒张压值、平均发病年龄均高于苏北监测区 ,且差异有统计学意义 ;2个代表监测区 1997～ 2 0 0 3年国产复方口服避孕药 (COC)使用率趋势与脑卒中发病率趋势有较好的一致性。结论 女性人群脑卒中的防治工作应成为女性健康服务的重要内容 ,在不同的地区合理控制女性人群脑卒中发病危险因素 ,是预防女性脑卒中发病的重要环节。

Objective To investigate the incidence and mortality of stroke events in female population aged 20-64 years in some areas of Jiangsu Province and to explore the association between the incidence of stroke events and the intensity of risk factors.Methods The cases of stroke occurred in the defined female population were continuously collected through an established monitoring system,an extensional study of the MONICA project.Monitoring data for disease rate(incidence or mortality)of stroke and risk factors of hemorrhagic stroke were used to detect the difference among distinct areas.Results The age-standardized incidence of stroke in assigned surveillant areas was higher than that in Jiangsu Province,and the age-standardized incidence of stroke in Southern surveillant areas was similar to that of in high stroke incidence areas of China.Rate of pre-oral contraceptive user,mean of systolic pressure,mean of diastolic pressure,averge age of stroke cases in Southern surveillant area were significantly higher than those in Northern surveillant area.There was a significant concordance between trends of combined oral contraceptive using rate and stroke incidence during the past 7 years in two representative regions.Conclusion In female population,prevention and treatment of stroke is a growing important matter.To control the different risk factors of stroke in distinct areas is a reasonable method in the stroke prevention.