厦门市居民脑卒中死亡的流行病学研究

Epidemiologic Study on Mortality Due to Stroke in Residents in Xiamen

目的探讨厦门市居民脑卒中死亡变化趋势，为厦门市脑卒中综合防治工作提供依据。方法收集整理2005—2014年厦门市居民脑卒中死亡资料，计算死亡率等评价指标，用多因素Logistic回归分析脑卒中死亡的影响因素。结果20052014年，厦门市居民脑卒中死亡率66．76／10万，各年男性标化死亡率始终高于女性。男性（OR=1．31，95％CI：1．26～1．36）、生活在农村（OR=0．52，95％CI：0．50～0．54）和2005—2009年时间段（OR=0．92，95％CI：0．89～0．96）、年龄越大（OR=1．90，95％CI：1．88～1．91）可能是脑卒中死亡的危险因素。结论厦门市脑卒中死亡率居高不下，应以农村、男性、老年人群为重点关注对象，重视脑卒中防治工作。

Objective To explore the trend of mortality due to stroke in residents in Xiamen, so as to provide the basis data on preventing stroke in Xiamen. Methods The data of residents in Xiamen dying of stroke from 2005 to 2014 was collected and cleared up to calculate the evaluation indexes such as the mortality rate. The multiple logistic regression was used to analyze the impact factors associating with the death due to stroke. Results From 2005 to 2014, the average mortality rate_ of stroke in residents in Xiamen was 66.76 per 100,000 persons. Male （OR=1.31, 95%CI： 1.26- 1.36）, living in the rural （OR=0.52, 95%CI： 0.50-0.54） and 2005-2009 （OR=0.92, 95%CI： 0.89-0.96）, age （OR=1.90, 95%CI： 1.88-1.91） may be the dead risk factors due to stroke. Conlusions The mortality of stroke in Xiamen stayed in high level. We should pay more attentions on preventing and curing of stroke especially on the urban, male and elderly population.