为了全面衡量脑卒中对人群健康的多维损害，用综合评价指标从发病、病程、伤残及死亡等多方面评价长沙市城区１９９０年脑卒中对人群健康的危害，其危害程度依次为脑出血、脑血栓、脑栓塞、难分类及蛛网膜下腔出血，这不同于按死亡指标所作的结论。脑出血的危害主要是死亡所致的寿命损失，而脑血栓、脑栓塞则主要是伤残。 In order to comprehensively measure the multidimensional damage to human health caused by stroke, comprehensive evaluation indexes were used to evaluate the health effects of stroke in Changsha urban area in 1990 from the aspects of incidence, disease course, disability and death, and the hazard degree was cerebral hemorrhage, Cerebral thrombosis, cerebral embolism, intractable classification and subarachnoid hemorrhage, which is different from the conclusion of the death index. The main risk of cerebral hemorrhage is death-related loss of life, while cerebral thrombosis and cerebral embolism are mainly disability.