北京市1995―2014年儿童青少年身高体质量变化分析.docVIP

北京市1995―2014年儿童青少年身高体质量变化分析 　　摘要：目的了解2016年上海市奉贤区户籍居民的脑卒中发病及死亡现状，为相关部门制订脑卒中防治对策提供依据。 　　方法通过区内心脑血管疾病信息化系统收集全区脑卒中发病及死亡信息，由社区卫生服务中心专业人员对疾病信息的准确性进行调查审核，然后进行统计学分析。 　　结果2016年奉贤区户籍居民的脑卒中发病率为387.78/10万，死亡率为104.49/10万；40岁以后，男、女性脑卒中发病率和死亡率均随年龄的增加而上升，各年龄组间，男性脑卒中发病率和死亡率总体高于女性；脑卒中发病和死亡的时间无明显的季节性分布；脑卒中发病类型以脑梗死为主（占83.66%），脑出血的病死率最高（占45.55%），男性脑出血病死率高于女性。 　　结论相关部门应继续对社区居民加强脑卒中健康宣教，并重点关注高年龄组和男性人群的发病风险。 　　关键词： 脑卒中；发病率；死亡率 中图分类号： R 743.3文献标志码： A 　　Abstract：ObjectiveTo ascertain morbidity and mortality of stroke among residents in Fengxian District of Shanghai， and to provide a basis for relevant departments to formulate strategies for stroke control and prevention. 　　MethodsThe information on morbidity and mortality of stroke in the region was collected by the information system， which was established by monitoring cardiovascular and cerebrovascular diseases， and the accuracy of the disease information was investigated and audited by community health care staff. 　　ResultsThe incidence of stroke among residents in Fengxian District was 387.78/104 in 2016，and the mortality rate was 104.49/104；the incidence and mortality of stroke increased with age in both sexes after 40 years old， which in males were higher than in females between age groups， and the seasonal distribution was not obvious in morbidity and mortality；cerebral infarction was the main type of stroke（83.66%）， among all the cerebrovascular diseases， the fatality rate of intracerebral hemorrhage was the highest（45.55%），which was higher in males than in females. 　　ConclusionRelevant departments should continue to strengthen health education of stroke for community residents， and focus on the risk of morbidity among high age groups and male population. 　　Keywords： stroke；incidence；mortality 　　1?ο笥敕椒? 　　1.1对象 　　脑卒中监测对象为上海市户籍居民。一般人口学资料来源于奉贤区公安机关。截至2016年年末，奉贤区年平均户籍人口530 205人，其中男性262 125人，女性268 080人；0～14岁49 049人，占总人口的9.25%，15～64岁377 294人，占总人口的71.16%，65岁及以上人口103 862人，占总人口的19.59%。 　　1.2方法 　　通过奉贤区心脑血管疾病信息化系统收集脑卒中发病死亡信息。二