中国脑卒中死亡风险30年研究概述

A summary of 30 years research on risk factors of stroke mortality in China

本研究通过文献检索，分析中国脑卒中的死亡风险。中国脑卒中死亡率（年龄标化）呈下降趋势，农村高于城市，男性高于女性，随年龄的增长而上升。中国脑卒中死亡存在明显的地域差异、季节差异；不同脑卒中亚型死亡特点存在差异；气温过低或过高均会增加脑卒中的死亡风险。随着流行病学特征的变化，中国脑卒中死亡的危险因素也发生着变化。通过开展脑卒中死亡的流行病学研究，可以有效研究脑卒中的死亡风险，有助于掌握中国脑卒中的流行病学特点，了解脑卒中的预防和治疗的方向。针对不良生活方式、不健康行为方式以及代谢性心血管危险因素等开展个性化多因素干预，对推进中国脑卒中防治策略的建立有促进作用。

To analyze the mortality risk of stroke in China by literature search. The mortality rate of stroke （ age standardized） in China has declined in recent years. The mortality rate of stroke which increases with age is higher in rural areas than in urban areas, and is higher in men than in women in China. There are obvious regional differences and seasonal differences in the mortality of stroke in China. Different subtypes of stroke have different death characteristics. Low or high temperatures can increase the risk of mortality of stroke. With the change of epidemiologieal characteristics, the risk factors of mortality of stroke in China are also changing. Through the epidemiological study of stroke death, the mortality risk of stroke can be re- searched effectively, the epidemiological characteristics of stroke can be mastered, and the direction of pre- vention and treatment of stroke can be understood. Individualized and multi factor intervention for unhealthy lifestyle, unhealthy behavior and metabolic cardiovascular risk factors can promote the establishment of stroke prevention and control strategy in China.