摘要
目的分析2014—2023年武汉市缺血性脑卒中发病率变化趋势,为开展缺血性脑卒中防控工作提供科学依据。方法选取武汉市心脑血管疾病监测系统2014—2023年缺血性脑卒中发病数据。计算发病率、标化发病率及年龄别发病率等指标。采用SPSS 21.0进行χ^(2)检验。采用Joinpoint 5.1.0软件中的拟合对数线性模型估算平均年度变化百分比(AAPC)。结果2014—2023年武汉市缺血性脑卒中发病率为267.99/10万,标化发病率为183.67/10万,男性标化发病率(216.08/10万)高于女性(151.08/10万),农村标化发病率(197.88/10万)高于城市(174.18/10万)。2014—2023年武汉市总人群缺血性脑卒中发病率与标化发病率变化趋势均无统计学意义(P>0.05),城市居民缺血性脑卒中发病率、标化发病率呈下降趋势(AAPC分别为-2.25%和-3.06%,P<0.05),农村居民缺血性脑卒中发病率呈上升趋势(AAPC=5.52%,P<0.05)。男性30~39、40~49岁年龄组人群发病率呈上升趋势(AAPC分别为5.92%和3.20%,P<0.05),女性40~49、50~59岁年龄组人群发病率呈下降趋势(AAPC分别为-5.30%、-3.27%,P<0.05);城市40~49、70~79及≥80岁年龄组人群发病率呈下降趋势(AAPC分别为-2.31%、-4.34%和-4.83%,P<0.05),农村30~39、40~49及≥80岁年龄组人群发病率呈上升趋势(AAPC分别为8.97%、5.14%和7.07%,P<0.05)。结论2014—2023年武汉市缺血性脑卒中发病率较高并且相对稳定,中青年男性和农村居民是防控重点。
Objective To analyze the incidence trend of ischemic stroke in Wuhan from 2014 to 2023,and provide a scientific basis for prevention and control of ischemic stroke.Methods Data of the ischemic stroke from 2014 to 2023 were collected from the surveillance system of cardiovascular diseases in Wuhan,the incidence rate and age-standardized incidence rate(ASIR)were calculated.Joinpoint regression models was used to calculate the average annual percentage changes(AAPC)by Joinpoint 5.1.0 software.Theχ^(2)test was used to analyze the data,the used software was SPSS 21.0.Results The incidence and ASIR of ischemic stroke in Wuhan from 2014 to 2023 were 267.99/105 and 183.67/105,respectively.The ASIR of ischemic stroke in males(216.08/105)was significantly higher than that in females(151.08/105)from 2014 to 2023.The ASIR(197.88/105)of ischemic stroke in rural area was significantly higher than that(174.18/105)in rural area.There was no significant change in the incidence and ASlR of ischemic stroke(P>0.05).The incidence and ASlR of ischemic stroke in urban residents showed downward trends(AAPC values were-2.25%and-3.06%respectively,P<0.05),while the incidence of ischemic stroke in rural residents showed upward trend(AAPC=5.52%,P<0.05).The incidence in males(30-39 and 40-49 years old)showed the upward trends(AAPC values were 5.92%and 3.20%,respectively;P<0.05),the incidence in females(40-49 and 50-59 years old)showed the downward trend(AAPC values were-5.30%and-3.27%respectively,P<0.05).In urban areas,the incidence in residents(40-49,70-79 and≥80 years old)showed downward trends(AAPC values were-2.31%,-4.34%and-4.83%respectively,P<0.05).In rural areas,the incidence rates in residents(30-39,40-49 and≥80 years old)showed upward trend(AAPC values were 8.97%,5.14%and 7.07%respectively,P<0.05).Conclusion From 2014 to 2023,the incidence of ischemic stroke in Wuhan is high and stable,young and middle-aged males and rural area residents should be the key targets for prevention and control of ischemic stroke.
作者
邓青
罗俊
金琦曼
张晓霞
张微
代娟
DENG Qing;LUO Jun;JIN Qiman;ZHANG Xiaoxia;ZHANG Wei;DAI Juan(Department of Chronic and Non-communicable Diseases and Injury Prevention and Control,Wuhan Center for Disease Control and Prevention,Wuhan,Hubei Province 430021,China)
出处
《中国慢性病预防与控制》
北大核心
2025年第11期831-835,共5页
Chinese Journal of Prevention and Control of Chronic Diseases
基金
中华预防医学会老年和重大慢病研究项目资助(JKCLPJ202501005)
武汉市卫健委、武汉市科技局课题(WX23Z95)。
