Abstract
王文化,赵冬,吴桂贤,刘军,姚丽,吴兆苏.北京市1984~1999年人群脑卒中发病率变化趋势分析[J].Chinese journal of Epidemiology,2001,22(4):269-272
北京市1984~1999年人群脑卒中发病率变化趋势分析
The trend of incidence rate of acute stroke event in urban areas,Beijing from 1984 to 1999
Received:October 23, 2000  
DOI:
KeyWord: 脑血管病  发病率  流行病学
English Key Word: Cerebrovascular disorders  Incidence rate  Epidemiology
FundProject:
Author NameAffiliation
Wang Wenhua Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China 
Zhou Dong Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China 
Wu Guixian Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China 
刘军 Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China 
姚丽 Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China 
吴兆苏 Beijing Institute of Heart, Lung and Blood Vessel Diseases, Beijing 100029, China 
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Abstract:
      目的评估北京市城区 1984~ 1999年 16年间急性脑卒中发病率的变化趋势及强度。方法采用世界卫生组织心血管病趋势及其决定因素的监测方案 (monitoringoftrendsanddeterminantsincardiovasculardiseases,简称WHOMONICA方案 )中北京市城区心血管病人群监测及后续研究的资料 ,逐年计算急性脑卒中事件发作粗率、年龄标化发作率和首发发病粗率、年龄标化首发发病率 ,用线性回归方法分析发病率的变化趋势和年平均变化幅度 ,并分析各年龄组发病专率的变化状况。结果①北京市 1984~ 1999年急性脑卒中事件的发作率和首发发病率均呈明显的上升趋势.男性年平均增民幅度分别为4. 5%和4.1%女性均为4.2%;②65一岁和70-74岁老年组发病率增加尤为明显③1999年北京市65岁及以上老年人口的比例为10.3%已逐渐步入老龄化社会 结论北京市脑卒中的发病率旱明显上升趋势.老年组增加更为明显.随着人口的老龄化.人群中脑卒中病人的绝对数增加.应加强脑卒中的一级预防和二级预防
English Abstract:
      ObjectiveTo estimate the trend of incidence rate of acute stroke event in the population aged 25 74 in urban areas of Beijing from 1984 to 1999. Methods All stroke events in defined population were ascertained and validated according to unified protocol and criteria. A total number of 6 553 stroke events were analyzed, crude rates and aged standardized rates for all stroke events and first ever stroke events were calculated for whole calendar years for the population. Temporal annual rates of stroke were estimated for 16 years. Results Annual stroke attack rates increased both in men and women with an average annual percentage changes 4.5 % and 4.2 %, respectively. Annual first ever stroke incidence rate increased both in men and women with average annual percentage changes 4.1 % and 4.2 %, respectively. Most remarkable increase was noticed in the 65 69 and 70 74 age groups. Conclusion Rates of stroke attack incidence and first ever incidence were increasing in the population of urban in Beijing, indicating the prevention of stroke be strengthened in the area.
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