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重庆市疾病预防控制中心慢性病预防控制所,重庆,400042
纸质出版日期:2018,
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丁贤彬, 焦艳, 毛德强, 等. 2016年重庆市脑卒中早死概率及潜在寿命损失分析[J]. 重庆医科大学学报, 2018,43(2):206.
Ding Xianbin, Jiao Yan, Mao Deqiang, et al. Analysis on premature death and potential years of life loss of stroke in Chongqing,2016[J]. Journal of Chongqing Medical University, 2018,43(2):206.
目的:了解重庆市脑卒中死亡率、早死亡概率、潜在寿命损失及分布情况,为开展脑卒中防治提供建议。方法:2016年居民死亡个案数据(死亡日期为2016年1月1日至2016年12月31日)全部来源于《中国疾病预防控制系统死因登记报告信息系统》,采用国际疾病分类第10版(International Classification of Disease-10,ICD-10)对脑卒中(I60-I64)死亡个案进行编码,数据经SPSS 19.0统计分析粗死亡率、标化死亡率、构成比、早死亡概率、潜在寿命损失年。率的比较采用卡方检验。结果:2016年重庆市脑卒中粗死亡率与标化死亡率分别为117.35/105与63.19/105,脑卒中死亡占总死亡的16.04%。男性脑卒中死亡率(130.74/105)与标化死亡率(75.72/105)均高于女性(103.50/105与50.51/105),差异均有统计学意义( χ2=21.710,P=0.000; χ2=27.346,P=0.000)。农村脑卒中死亡率(137.95/105)与标化死亡率(73.44/105)均高于城市(63.54/105与35.27/105),差异均有统计学意义( χ2=53.078,P=0.000; χ2=37.190,P=0.000)。50岁前脑卒中死亡率均低于50/105,50岁以后随年龄的增长而快速上升,85岁年龄组达到高峰。2016年脑卒中早死亡概率为2.88%,男性脑卒中早死亡概率(3.74%)高于女性(1.96%),差异有统计学意义( χ2=216.999,P=0.000)。农村脑卒中早死亡概率(3.33%)高于城市(1.61%),差异有统计学意义( χ2=191.043,P=0.000)。脑卒中平均潜在寿命损失年(average years of life loss,AYLL)为10.87人年。结论:重庆市脑卒中死亡率与早死亡概率高,农村居民与男性是重点人群,应加强脑卒中的综合防治。
Objective:To understand the mortality,probability of premature death,potential years of life loss and its distribution of stroke in Chongqing and to provide the suggestion for stroke prevention and control. Methods:Death cases between January 1 and December 31,2016 were reported through death case registry system of national center for disease prevention and control. Death cas-es of stroke(ICD-10:I60-I64) were sorted by international classification of disease(ICD-10). And it was analyzed to calculate the indicators such as mortality,age-specific standardization mortality rate,proportion,probability of premature death,potential years of life loss. The rate was compared by chi-square test between different genders and areas. Results:The crude mortality and age-specific standardized mortality rate of stroke was 117.35/105 and 63.19/105 respectively in Chongqing,2016. The proportion of stroke death cases was 16.04% of all death cases. The crude mortality and age-specific standardized mortality rate of stroke among male residents was 130.74/105 and 75.72/105 respectively,which was higher than those(103.50/105 and 50.51/105) among female residents signifi-cantly( χ2=21.710,P=0.000; χ2=27.346,P=0.000). The crude mortality and age-specific standardized mortality rate of stroke among rural residents was 137.95/105 and 73.44/105 respectively,which was higher than those(63.54/105 and 35.27/105) among urban resi-dents significantly( χ2=53.078,P=0.000; χ2=37.190,P=0.000). The mortality of stroke before 50 years old was below 50/105 and it in-creased rapidly after 50 years old and reached the peak at age group of 85 years old. The probability of premature death of stroke was 2.88% in Chongqing,2016. The male probability of premature death of stroke(3.74%) was higher than it(1.96%) of the female significantly( χ2=216.999,P=0.000). The proba-bility of premature death of stroke in rural area(3.33%) was higher than it(1.61%) in urban area significantly( χ2=191.043,P=0.000). Conclusion:The mortality of stroke and probability of pre-mature death of stroke is high in Chongqing. Rural residents and the male are vulnerable population and comprehensive preven-tion and control for stroke should be strengthened.
脑卒中死亡率早死亡概率潜在寿命损失年
strokemortalityprobability of premature deathpotential years of life loss
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