上海市徐汇区2002—2012年脑卒中死亡监测资料分析

The Epidemiological Analysis on Surveillance Date of Stroke Mortality in Xuhui District of Shanghai Prom 2002 to 2012

目的分析上海市徐汇区2002--2012年脑卒中及其亚型死亡率变化趋势及其时间分布情况。方法采用徐汇区死因监测系统户籍死亡资料,计算不同亚型死亡率,采用变化百分比(percent change,PC%)及年度变化百分比(annual percent change,APC%)描述其时间分布。结果徐汇区2002—2012年脑卒中标化死亡率呈下降趋势,由74.5/10万降至54.5/10万,缺血性脑卒中是卒中死亡的主要原因,不同亚型脑卒中的男性标化死亡率均高于女性,但女性死亡标化率下降的APC%大于男性。结论脑卒中不同亚型死亡构成和时间分布出现显著变化,应制定有针对性的预防措施,以减少脑卒中患者的死亡。

OBJECTIVE To analyze the distribution and time trend of stroke mortality in residents of Xuhui District of Shanghai. METHODS The stroke death data of household registration during 2002 to 2012 were collected by Xuhui District death surveillance system. Crude and standardized mortality were calculated by subtype, gender and age. Percent change（PC%） and annual percent change（APC%） were estimated to access the time trend for stroke mortality. RESULTS The standardized mortality of stoke in XuHui District from 2002 to 2012 was on a decline which from 74.5/100 000 to 54.5/100 000. Ischemic stroke was the leading cause of death. Male＇ s standardized mortality was higher than female＇ s of any subtype, but the changes of APC% were more among women. CONCLUSIONS Different subtypes of stroke death constitute a significant change and showed different time trend. Targeted preven- tive measures should be developed to reduce the death of stroke.