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目的分析1999—2006年天津市居民脑卒中死亡的趋势与分布,为预防和控制脑卒中提供依据。方法以1999—2006年天津市脑卒中死亡报告102718例为基础数据,应用ICD-9或ICD-10进行脑卒中分型,描述脑卒中死亡的年龄、性别及地区分布,分析不同类型脑卒中死亡构成的变化,按照2000年世界人口对脑卒中死亡率进行标化,应用χ2检验进行死亡率、构成比的比较。结果天津市脑卒中死亡率呈下降趋势,由133.52/10万降至102.52/10万。1999—2006年各年份男性脑卒中死亡率(120.17/10万～157.74/10万)均高于女性(84.87/10万～109.31/10万),脑卒中死亡率随年龄增加而上升(P<0.05)。近5a来脑梗死是城市居民脑卒中死亡的主要原因,其构成比超过了50%。农村居民脑卒中死亡以脑内出血型为主(各年度均占50%以上)。结论脑卒中死亡的性别和地区分布存在差异,脑卒中死亡类型的构成和分布出现显著变化,应制定有针对性的预防措施,以减少脑卒中的死亡。
Objective To analyze the trend and distribution of death from stroke in Tianjin City from 1999 to 2006, and provide basis for prevention and control of stroke. Methods According to the data of 102718 cases of death from stroke in Tianjin city from 1999 to 2006, the type of stroke was determined by ICD-9 or ICD-10. The age, sex and geographical distribution of stroke were described, and the deaths of different types of stroke were analyzed According to the world population in 2000, the death rate of stroke was normalized, and the mortality rate and constituent ratio were compared by χ2 test. Results The death rate of stroke in Tianjin showed a decreasing trend from 133.52 / 100,000 to 102.52 / 100,000. The death rate of stroke in men was higher than that of women in the period of 1999-2006 (120.17 / 100,000 to 157.74 / 100,000) (84.87 / 100,000 to 109.31 / 100,000). The stroke mortality increased with age (P < 0.05). Nearly 5 years of cerebral infarction is the main cause of death in urban residents stroke, its composition ratio of more than 50%. The death of rural residents in the main type of intracerebral hemorrhage (each accounting for more than 50%). Conclusions There are differences in the gender and geographical distribution of stroke deaths. The composition and distribution of death types in stroke show significant changes. Targeted preventive measures should be formulated to reduce stroke death.