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目的了解2010—2014年桐乡市居民脑卒中发病及死亡情况。方法利用“浙江省慢性病监测信息管理系统”收集桐乡市2010—2014年脑卒中监测资料并进行分析。结果 2010—2014年桐乡市缺血性脑卒中年均报告发病率223.11/10万(标化率185.37/10万),死亡率77.73/10万(标化率60.54/10万),呈逐年递增趋势(P<0.05);出血性脑卒中年均报告发病率88.31/10万(标化率74.81/10万),死亡率59.87/10万(标化率47.90/10万),呈逐年递减趋势(P<0.05)。两类脑卒中发病率均随着年龄增长而上升,且在50岁以后上升明显;各年龄段脑卒中发病率均为男性高于女性(P<0.01)。结论应继续采取针对性措施防制不同亚型脑卒中,尤其应加大对中老年男性高危人群的筛查力度,以降低脑卒中发病率和死亡率。
Objective To understand the incidence and mortality of stroke in Tongxiang City from 2010 to 2014. Methods Using “Zhejiang chronic disease monitoring information management system” to collect Tongxiang 2010-2014 stroke monitoring data and analysis. Results The average annual incidence of ischemic stroke was 223.11 / 100 000 (standardized rate 185.37 / 100 000) and mortality 77.73 / 100 000 (standardized rate 60.54 / 100 000) in 2010-2014, showing an annual increase (P <0.05). The annual average incidence rate of hemorrhagic stroke was 88.31 / 100000 (the standardization rate was 74.81 / 100000) and the death rate was 59.87 / 100000 (the standardization rate was 47.90 / 100000), showing a declining trend year by year (P <0.05). Incidence of both types of stroke increased with age, and increased significantly after the age of 50; incidence of stroke in all age groups were higher than the male (P <0.01). Conclusion It is necessary to continue to take targeted measures to prevent different subtypes of stroke, in particular, we should increase the screening of men at high risk of middle-aged and elderly to reduce the incidence of stroke and mortality.