中国脑卒中流行状况与防控策略建议

The epidemic status and recommendations for prevention and control strategies of stroke in China

目前脑卒中的流行状况仍非常严峻,对社会和众多家庭造成了严重危害。我国脑卒中整体新发病例仍在增加,患病率整体持续上升。与1990年相比,2021年每10万人中卒中患者的数量上升了11.5%。东北地区的加权发病率和死亡率最高,分别为365.2/10万和158.5/10万。随着高血压、糖尿病、血脂异常等主要危险因素持续增加以及人口老龄化加速,我国脑卒中的患病率和发病率预计仍将继续上升。因此,合理的防控策略建议包括:以预防为主,加强健康教育和促进活动;以社区为基础,开展脑卒中人群防治工作;因地制宜制定脑卒中防控措施。

At present,the prevalence of stroke is still very severe,causing serious harm to society and many families.The overall incidence of new stroke cases is still increasing,and the overall prevalence continues to rise.Compared with 1990,the number of stroke patients per 100,000 people increased by 11.5%in 2021.The weighted morbidity and mortality in Northeast China were the highest,at 365.2 per 100,000 and 158.5 per 100,000,respectively.It is predicted that the prevalence and incidence of stroke in China will continue to rise with the continuous rise of several major risk factors such as hypertension,diabetes and dyslipidemia,as well as the accelerated aging of the population.Therefore,the reasonable recommendations for prevention and control strategies include:focusing on prevention,strengthening health education and promotion activities;carrying out community-based prevention and treatment of stroke population;formulating stroke prevention and control measures based on local conditions.