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 Joinpoint 4.3.1.0 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x2=14.851,P＜0.001;2017年x2=29.848,P＜0.001;2018年x2=34.468,P＜0.001;2019年x2=82.447,P＜0.001;2020年x2=113.310,P＜0.001;2021年x2=107.890,P＜0.001;2022年x2=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 year x2=14.851,P＜0.001;2017 year x2=29.848,P＜0.001;2018 year x2=34.468,P＜0.001;2019 year x2=82.447,P＜0.001;2020 year x2=113.310,P＜0.001;2021 yearx2=107.890,P＜0.001;2022 year x2=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.
万方数据