2010—2021年南山区脑卒中发病趋势

Trend in incidence of stroke in Nanshan District from 2010 to 2021

目的了解2010—2021年深圳市南山区脑卒中发病趋势,为制定脑卒中综合防制策略提供依据。方法通过深圳市慢性病防治管理系统收集2010—2021年南山区脑卒中发病资料,计算发病率,采用2010年第六次全国人口普查数据标化发病率,采用年度变化百分比(APC)和平均年度变化百分比(AAPC)分析脑卒中发病趋势;描述性分析不同性别、年龄和疾病亚型的发病率趋势。结果2010—2021年南山区报告脑卒中发病30377例,粗发病率为190.45/10万,标化发病率为405.65/10万;脑卒中粗发病率呈上升趋势,APC值为5.38%(t=4.678,P=0.001)。男性脑卒中粗发病率为227.57/10万,高于女性的148.40/10万(χ^(2)=1309.580,P<0.001)。居民脑卒中发病率随年龄增长呈上升趋势(χ^(2)_(趋势)=435.717,P<0.001);<40岁居民脑卒中发病率呈上升趋势,APC值为2.89%(t=2.538,P=0.029)。缺血性脑卒中粗发病率为151.24/10万,高于出血性脑卒中的39.21/10万(χ^(2)=10521.000,P<0.001)。结论2010—2021年南山区脑卒中发病率呈上升趋势,以缺血性脑卒中为主;男性和中老年人群是脑卒中防治的重点。

Objective To investigate the trend in incidence of stroke in Nanshan District,Shenzhen City from 2010 to2021,so as to provide the evidence for formulating the integrated strategy for stroke control.MethodsThe data of stroke morbidity in Nanshan District from 2010 to 2021 were collected through Shenzhen Chronic Disease Prevention and Control Management System.The incidence of stroke was calculated,and standardized by the population of the Chi-nese Sixth National Census in 2010.The trends in stroke incidence were evaluated in Nanshan District from 2010 to2021 using annual percent change(APC)and average annual percent change(AAPC),and gender-,age-and subtypespecific incidence of stroke was descriptively analyzed.ResultsA total of 30377 cases with stroke were reported in Nanshan District from 2010 to 2021,with a crude incidence rate of 190.45/10~5and a standardized incidence rate of405.65/10~5.The crude incidence rate of stroke appeared a tendency towards a rise in Nanshan District from 2010 to2021(APC=5.38%,t=4.678,P=0.001),and a higher crude incidence rate of stroke was seen among men than among women(227.57/10~5vs.148.40/10~5;χ^(2)=1309.580,P<0.001).The incidence of stroke appeared a tendency towards a rise with age(χ^(2)_(trend)=435.717,P<0.001),and there was a tendency towards a rise in stroke incidence among residents under40 years of age(APC=2.89%,t=2.538,P=0.029).The crude incidence of ischemic stroke was 151.24/10~5,which was higher than that of hemorrhagic stroke(39.21/10~5)(χ^(2)=10521.000,P<0.001).ConclusionsThe incidence of stroke ap-peared a tendency towards a rise in Nanshan District from 2010 to 2021,with ischemic stroke as the predominant sub-type of stroke.Males and middle-aged and elderly residents should be given a high priority for stroke prevention and treatment.