Analysis of the prevalence characteristics of stroke in Longhua District, Shenzhen City from 2016 to 2022
-
摘要:
目的 了解2016―2022年深圳市龙华区居民脑卒中发病情况的流行特征，为该地区慢性非传染病性疾病(简称慢性病)防控相关政策的制定提供依据。 方法 本研究的数据来源于2016―2022年深圳市慢性非传染性疾病监测报告网络信息系统中深圳市龙华区常住居民的脑卒中发病监测数据。采用SPSS 23.0软件计算脑卒中的发病率、年龄别发病率和发病类型的状况，采用Joinpoint4.3.1.0软件计算年度变化百分比(annual percent change, APC)。 结果 2016―2022年深圳市龙华区年均发病率为166.45/10万，各年度发病率变化不大(t=0.460, P=0.665)。男性脑卒中平均发病率高于女性(2016年χ2=14.851, P＜0.001；2017年χ2=29.848, P＜0.001；2018年χ2=34.468, P＜0.001；2019年χ2=82.447, P＜0.001；2020年χ2=113.310, P＜0.001；2021年χ2=107.890, P＜0.001；2022年χ2=119.740, P＜0.001)。脑卒中发病率随年龄增长而升高，不同年份男性脑卒中平均发病年龄均早于女性。在脑卒中的危险因素中，确诊伴有高血压的比例最高。 结论 深圳市龙华区脑卒中的发病情况依然严峻，且发病率呈上升趋势，应实施综合性的干预措施，有效控制各种危险因素，尤其是对高血压的有效管理与控制。 Abstract:Objective To understand the prevalence characteristics of stroke incidence among residents of Longhua District, Shenzhen, China, from 2016 to 2022, and to provide a basis for the the formulation of policies related to the prevention and control of chronic diseases in the region. Methods The data for this study were obtained from the stroke incidence surveillance data of the permanent residents of Longhua District, Shenzhen, China, in the Chronic Non-communicable Disease Surveillance Reporting Network Information System, Shenzhen, China, from 2016 to 2022. SPSS 23.0 was used to calculate the status of incidence rate, standardized incidence rate and age-specific incidence rate and incidence type of stroke, and Joinpoint 4.3.1.0 was used to calculate the annual percentage change (APC). Results The average annual incidence rate in Longhua District, Shenzhen, China, from 2016 to 2022 was 166.45/100 000, and the change in the annual incidence rate was not significant (t=0.460, P=0.665). The incidence rate of stroke was higher in males than in females (2016 yearχ2=14.851, P < 0.001;2017 yearχ2=29.848, P < 0.001;2018 yearχ2=34.468, P < 0.001;2019 yearχ2=82.447, P < 0.001;2020 yearχ2=113.310, P < 0.001;2021 yearχ2=107.890, P < 0.001;2022 yearχ2=119.740, P < 0.001). The incidence of stroke increased with age, and the mean age of onset of stroke was earlier in men than in women in different years. Among the risk factors for stroke, the proportion of confirmed concomitant hypertension was the highest. Conclusions The incidence of stroke in Longhua District, Shenzhen City, is still serious, and the incidence rate is significantly increasing, comprehensive interventions should be implemented to effectively control various risk factors, especially the effective management and control of hypertension. -
Key words:
- Stroke /
- Incidence /
- Epidemiologic characteristics
-
表 1 2016-2022年龙华区常住人口脑卒中发病率
Table 1. Stroke incidence rate in the permanent population of Longhua District, 2016-2022
年份
Year合计Total 男性Male 女性Female 发病率/10万-1
Incidence
rate/100 000-1标化率/10万-1
Standardization
rate/100 000-1发病率/10万-1
Incidence
rate/100 000-1标化率/10万-1
Standardization
rate/100 000-1发病率/10万-1
Incidence
rate/100 000-1标化率/10万-1
Standardization
rate/100 000-1χ2值 ①
value①P值 ①
value①2016 174.62 705.49 185.65 731.60 159.16 670.92 14.851 ＜0.001 2017 162.56 473.23 177.45 509.47 142.44 430.49 29.848 ＜0.001 2018 139.35 393.57 153.82 425.02 120.41 358.70 34.647 ＜0.001 2019 168.19 472.03 191.87 526.77 137.19 412.43 82.447 ＜0.001 2020 185.52 524.86 213.69 592.01 148.64 451.39 113.310 ＜0.001 2021 159.70 441.53 184.39 512.26 127.36 365.70 107.890 ＜0.001 2022 172.61 484.48 198.85 545.23 138.25 417.15 119.740 ＜0.001 APC/% 0.808 -3.17 2.185 -1.641 -1.455 -5.125 t值value 0.460 -1.003 1.198 -0.538 -0.860 -1.541 P值value 0.665 0.362 0.285 0.613 0.429 0.184 注：APC，年度变化百分比。
①各年份男女性脑卒中发病率比较结果。
Note: APC, the annual percentage change.
① The result of the comparison of male and female stroke incidence rates by year.
下载: 导出CSV
表 2 2016―2022年龙华区常住人口脑卒中年龄别发病情况
Table 2. Age-specific incidence of stroke in the resident population of Longhua District, 2016-2022
年份
Year0~＜10
岁years①10~＜20
岁years①20~＜30
岁years①30~＜40
岁years①40~＜50
岁years①50~＜60
岁years①60~＜70
岁years①≥70
岁years①2016 3.23 4.63 8.56 38.55 254.48 722.62 1 873.81 7 279.82 2017 1.13 4.71 9.96 27.75 206.68 502.23 1 191.09 4 796.74 2018 0.52 3.48 9.00 29.34 183.00 433.44 998.86 3 886.21 2019 1.45 2.42 10.82 35.37 225.53 524.92 1 207.84 4 643.51 2020 5.40 6.03 8.51 39.92 214.69 616.08 1 371.48 5 169.30 2021 4.64 4.95 9.47 33.01 192.07 529.66 1 227.61 4 191.47 2022 9.53 5.32 8.76 39.84 195.49 595.52 1 190.71 4 801.88 APC/% 33.585 4.008 -0.321 2.887 -2.763 0.125 -3.201 -4.122 t值value 2.776 0.829 -0.173 1.083 -1.517 0.040 -0.957 -1.234 P值value 0.039 0.445 0.870 0.328 0.190 0.969 0.383 0.272 注：APC，年度变化百分比。
①发病率/10万。
Note: APC, the annual percentage change.
① Incidence/100 000.
下载: 导出CSV
表 3 2016―2022年龙华区既往疾病患病情况
Table 3. Prevalence of pre-existing diseases in Longhua District, 2016-2022
既往病史Past medical history 缺血性脑卒中
Ischemic stroke ①出血性脑卒中
Hemorrhagic stroke ①2值
valueP值
value高血压Hypertension 12 394(71.06) 3 377(76.09) 44.556 ＜0.001 冠状动脉粥样硬化性心脏病Coronary atherosclerotic heart disease 1 227(7.03) 106(2.39) 133.494 ＜0.001 糖尿病Diabetes 3 292(18.87) 268(6.04) 427.821 ＜0.001 血脂异常Dyslipidemia 1 600(9.17) 297(6.69) 27.503 ＜0.001 注：①以人数(占比/%)表示。
Note: ① Number of people (proportion/%).
下载: 导出CSV
-
[1] Feigin VL, Forouzanfar MH, Krishnamurthi R, et al. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010[J]. Lancet, 2014, 383(9913): 245-254. DOI: 10.1016/s0140-6736(13)61953-4. [2] 《中国脑卒中防治报告》编写组, 王陇德. 《中国脑卒中防治报告2020》概要[J]. 中国脑血管病杂志, 2022, 19(2): 136-144.Wang Longde, Wang Longde, China Stroke Prevention and Control Report Writing Group. Summary of the China Stroke Prevention and Treatment Report 2020 [J]. Chin J Cerebrovasc Dis, 2022, 19(2): 136-144. [3] 王诚, 陈左霞, 王小红, 等. 2015—2020年金华市居民脑卒中死亡流行病学特征分析[J]. 现代预防医学, 2022, 49(2): 213-216.Wang C, Chen ZX, Wang XH, et al. Epidemiological characteristics of stroke mortality among residents in Jinhua from 2015 to 2020 [J]. Modern Preventive Medicine, 2022, 49(2): 213-216. [4] 国家卫生计生委脑卒中筛查与防治工程委员会. 脑卒中筛查与预防技术规范[J]. 中国医学前沿杂志(电子版), 2013, 5(9): 44-50.National Health and Family Planning Commission Stroke Screening and Prevention Engineering Committee. Technical specification for stroke screening and prevention [J]. Chinese Journal of the Frontiers of Medical Science(Electronic Version), 2013, 5(9): 44-50. [5] 马林, 巢宝华, 曹雷, 等. 2007—2017年中国脑卒中流行趋势及特征分析[J]. 中华脑血管病杂志(电子版), 2020, 14(5): 253-258.Ma L, Chao BH, Cao L, et al. The epidemiology and characteristics of stroke in China from 2007 to 2017: a national analysis [J]. Chinese Journal of Cerebrovascular Disease(Electronic Version, 2020, 14(5): 253-258. [6] 丁贤彬, 焦艳, 毛德强, 等. 重庆市脑卒中发病死亡流行特征分析[J]. 公共卫生与预防医学, 2021, 32(6): 20-23. DOI: 10.3969/j.issn.1006-2483.2021.06.005.Ding XB, Jiao Y, Mao DQ, et al. Analysis of epidemiological characteristic of incidence and mortality of stroke in Chongqing [J]. J Pub Health Prev Med, 2021, 32(6): 20-23. DOI: 10.3969/j.issn.1006-2483.2021.06.005. [7] 蔡平利, 周月华, 施娟辉, 等. 上海市郊区某镇2014—2019年脑卒中流行特征分析[J]. 健康教育与健康促进, 2020, 15(6): 658-660. DOI: 10.16117/j.cnki.31-1974/r.202006021.Cai PL, Zhou YH, Shi JH, et al. Analysis on the epidemic characteristics of stroke in a suburban town of Shanghai from 2014 to 2019 [J]. Health Education and Health Promotion, 2020, 15(6): 658-660. DOI: 10.16117/j.cnki.31-1974/r.202006021. [8] 雷林, 周海滨, 彭轲, 等. 深圳市居民2008—2013年脑卒中流行特征分析[J]. 中国慢性病预防与控制, 2014, 22(5): 564-566. DOI: 10.16386/j.cjpccd.issn.1004-6194.2014.05.044.Lei L, Zhou HB, Peng K, et al. Analysis on epidemiological characteristics of cerebral stroke in residents of Shenzhen city from 2008 to 2013 [J]. Chin J Prev Contr Chron Dis, 2014, 22(5): 564-566. DOI: 10.16386/j.cjpccd.issn.1004-6194.2014.05.044. [9] 赖耀荣, 薛金玉. 2010—2018年浙江省象山县居民脑卒中流行病学分析[J]. 现代实用医学, 2020, 32(8): 943-945. DOI: 10.3969/j.issn.1671-0800.2020.08.027.Lai YR, Xue JY. Epidemiological analysis of stroke among residents in Xiangshan County, Zhejiang Province from 2010 to 2018 [J]. Mod Pract Med, 2020, 32(8): 943-945. DOI: 10.3969/j.issn.1671-0800.2020.08.027. [10] 孙文慧, 李建彬, 冯石献, 等. 2014—2017年郑州市居民脑卒中流行病学特征分析[J]. 广东医学, 2019, 40(11): 1584-1588. DOI: 10.13820/j.cnki.gdyx.20186680.Sun WH, Li JB, Feng SX, et al. Epidemiological analysis of stroke in Zhengzhou between 2014 and 2017 [J]. Guangdong Medical Journal, 2019, 40(11): 1584-1588. DOI: 10.13820/j.cnki.gdyx.20186680. [11] 蓝洋, 王宏宇. 雌激素水平与血管相关疾病[J]. 心血管病学进展, 2019, 40(4): 529-532. DOI: 10.16806/j.cnki.issn.1004-3934.2019.04.010.Lan Y, Wang HY. Estrogen levels and vascular diseases [J]. Adv Cardiovasc Dis, 2019, 40(4): 529-532. DOI: 10.16806/j.cnki.issn.1004-3934.2019.04.010. [12] 顾锋, 罗颖芝. 2012—2015年宁波市北仑区脑卒中发病状况流行特征分析[J]. 中国慢性病预防与控制, 2017, 25(7): 527-529. DOI: 10.16386/j.cjpccd.issn.1004-6194.2017.07.013.Gu F, Luo YZ. Epidemiological characteristics of stroke in Beilun District of Ningbo City from 2012 to 2015 [J]. Chin J Prev Contr Chron Dis, 2017, 25(7): 527-529. DOI: 10.16386/j.cjpccd.issn.1004-6194.2017.07.013. [13] 李玉华, 张云, 夏庆华. 2017—2018年上海市长宁区脑卒中流行病学特征分析[J]. 职业与健康, 2020, 36(6): 779-782. DOI: 10.13329/j.cnki.zyyjk.2020.0207.Li YH, Zhang Y, Xia QH. Analysis on epidemiological characteristics of stroke in Changning District of Shanghai from 2017-2018 [J]. Occup and Health, 2020, 36(6): 779-782. DOI: 10.13329/j.cnki.zyyjk.2020.0207. -
