北京地区1984-2000年35～74岁人群复发性脑卒中事件发病变化趋势

刘军; 赵冬; 王薇; 孙佳艺; 李岩; 贾妍娜

Abstract

刘军,赵冬,王薇,孙佳艺,李岩,贾妍娜.北京地区1984-2000年35～74岁人群复发性脑卒中事件发病变化趋势[J].Chinese journal of Epidemiology,2007,28(5):437-440

北京地区1984-2000年35～74岁人群复发性脑卒中事件发病变化趋势

Trends regarding the incidence of recurrent stroke events in Beijing

Received:September 05, 2006

DOI：

KeyWord: 脑卒中复发缺血型出血型

English Key Word: Stroke Recurrence Ischemic Hemorrhagic

FundProject:

Author Name	Affiliation
LIU Jun	Department of Epidemiology, Beijing Anzhen Hospital, Capital University of Medical Science, Beijing 100029, China
ZHAO Dong	Department of Epidemiology, Beijing Anzhen Hospital, Capital University of Medical Science, Beijing 100029, China
WANG Wei	Department of Epidemiology, Beijing Anzhen Hospital, Capital University of Medical Science, Beijing 100029, China
SUN Jia-yi	Department of Epidemiology, Beijing Anzhen Hospital, Capital University of Medical Science, Beijing 100029, China
LI Yan	Department of Epidemiology, Beijing Anzhen Hospital, Capital University of Medical Science, Beijing 100029, China
JIA Yan-na	Department of Epidemiology, Beijing Anzhen Hospital, Capital University of Medical Science, Beijing 100029, China

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Abstract:

目的探讨1984-2000年北京地区35～74岁自然人群复发性急性脑卒中事件的变化趋势和分布特点。方法在WHO-MONICA方案的北京地区心血管病监测人群中，于1984-2000年用统一标准化的方法登记年龄在35～74岁人群中急性脑卒中事件，脑卒中发作诊断标准采用WHO-MONICA方案的脑卒中诊断标准，在首次发生急性脑卒中事件28 d后再发生的急性脑卒中事件记为复发事件，共登记急性脑卒中13 380例。结果 17年间复发性脑卒中事件的发病率由1984年的89。51/10万上升至2000年的143。34/10万，且男性发病率的年平均上升幅度(5。5%)高于女性(3。2%)。出血型脑卒中事件发病率下降了42。94%，缺血型脑卒中事件的发病率上升了153%。复发性脑卒中事件约占总事件的1/3，随时间的变化，复发性脑卒中事件在总事件中的比例呈增加趋势，男性年平均增加1。6%(P＜0。05)，女性年平均增加0。6%;复发性脑卒中事件中男性占31。7%，高于女性的26。9%(P＜0。001)。结论北京地区1984-2000年间复发性脑卒中事件的发病率总体呈上升趋势，复发性脑卒中事件占总事件的比例随时间的变化逐年增加。

English Abstract:

Objective To explore the trends and distributions of incidence on recurrent stroke events in population aged 35 to 74 in Beijing from 1984 to 2000. Methods In Sino-MONICA project, acute stroke events were registered in a standardized way in men and women aged. 35-74 years in Beijing from 1984-2000. Recurrent stroke event was defined as recurrence within 28 days after first stroke onset. Results From 1984 to 2000, incidence of recurrence stroke events increased from 89.51/100 000 to 143.34/100000. In the 17 years of follow-up period, rate of recurrent ischemic stroke increased by 153 %, and the rate of hemorrhagic stroke decreased by 42. 94 %.In all events, the recurrent rate of stroke accounted for 29.8%.This rate was higher in men(31.7%)than that in women(26. 9 %)The event rate of recurrent stroke 1. 6 % of increase per year in men, higher than that in women which was 0. 6 %.Subjects with history of hypertension, diabetes,coronary heart disease had a higher rate of recurrent stroke. Conclusion Recurrence rates for stroke events increased significantly during the 17 years of observation, from 1984 to 2000. Subjects with history of hypertension, diabetes and coronary heart disease had a higher rate of recurrent stroke than other subjects.

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