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目的了解辽宁省彰武和凤城地区脑卒中的死亡特点,为脑卒中的防治提供科学依据。方法收集辽宁省彰武和凤城地区2013年居民的全死因死亡数据和人口学数据,用Excel 2007、SPSS 20.0进行统计分析,计算死因顺位,脑卒中死亡率、标化死亡率和死亡率随年龄变化情况等。率的组间比较用χ~2检验,率的趋势分析用趋势χ2检验。结果脑卒中是辽宁省彰武和凤城地区导致死亡的第1位死因,导致的死亡人数为1 774例,占全死因死亡人数的25.1%,也是70~84岁年龄组人群的首位死因。男性脑卒中死亡率及标化死亡率分别为207.88/10万和154.37/10万,均高于女性(150.86/10万和120.88/10万),标化死亡率间的差异有统计学意义(P<0.05)。脑卒中死亡率随年龄增长呈上升趋势,男性脑卒中死亡率在50~54岁年龄组增长幅度最大,为184.65%,女性在45~49岁年龄组增长幅度最大,为221.80%。缺血性脑卒中死亡率及标化死亡率分别为88.97/10万和68.15/10万,高于出血性脑卒中(61.71/10万和47.36/10万)。59岁之前出血性脑卒中死亡率高于缺血性脑卒中,60岁之后缺血性脑卒中死亡率高于出血性脑卒中,差异均有统计学意义(P<0.05)。彰武地区脑卒中标化死亡率高于凤城地区,差异有统计学意义(P<0.05)。结论对辽宁省彰武和凤城地区中青年危害较大的是出血性脑卒中,对老年人危害较为严重的是缺血性脑卒中。男性50岁以上人群是脑卒中的高危人群。
Objective To understand the characteristics of stroke death in Zhangwu and Fengcheng areas in Liaoning Province and provide a scientific basis for the prevention and treatment of stroke. Methods The death and demographic data of 2013 residents in Changwu and Fengcheng areas of Liaoning Province were collected and statistically analyzed with Excel 2007 and SPSS 20.0 to calculate the cause of death, the stroke mortality rate, the standardized mortality rate and the mortality rate With age changes and so on. Rates of comparison between groups using χ ~ 2 test, rate trend analysis using trend χ2 test. Results Stroke was the leading cause of death in Zhangwu and Fengcheng areas in Liaoning Province. The number of deaths was 1 774, accounting for 25.1% of all-cause deaths and the first cause of death in the 70-84 age group. The death rate and standard death rate of stroke in men were 207.88 / lakh and 154.37 / lakh, respectively, which were higher than those of women (150.86 / lakh and 120.88 / lakh) respectively. The difference of standardized mortality was statistically significant P <0.05). Stroke mortality increased with age, male stroke mortality in the age group of 50 to 54 years, the largest increase of 184.65%, women in the 45 to 49 age group the largest increase of 221.80%. Ischemic stroke mortality and standardized mortality were 88.97 / lakh and 68.15 / lakh respectively, higher than hemorrhagic stroke (61.71 / lakh and 47.36 / lakh). The mortality rate of hemorrhagic stroke before 59-year-old was higher than that of ischemic stroke. The mortality rate of ischemic stroke after 60-year-old was higher than that of hemorrhagic stroke. The difference was statistically significant (P <0.05). The mortality rate of stroke in Zhangwu was higher than that in Fengcheng, with significant difference (P <0.05). Conclusion It is hemorrhagic stroke which is more harmful to middle-aged and young people in Zhangwu and Fengcheng areas of Liaoning Province. It is ischemic stroke which is more serious to the elderly. Men over 50 years of age are at high risk of stroke.