【摘要】 目的 了解2016—2022年浙江省金华市金东区脑卒中发病趋势，为完善脑卒中防治策略提供依据。方法 通过浙江省慢性病监测信息系统收集2016—2022年金东区脑卒中发病资料，采用2010年全国人口普查数据进行标化，分析不同性别、年龄和疾病亚型脑卒中发病率；采用平均年度变化百分比（AAPC）分析脑卒中发病趋势。结果 2016—2022年金东区报告脑卒中发病9 159例，粗发病率为386.52/10万，标化发病率为276.75/10万；脑卒中粗发病率呈上升趋势（AAPC=3.704%,95%CI:0.792%～6.700%,P<0.05），标化发病率未见明显变化趋势（P>0.05）。男性脑卒中粗发病率为438.69/10万，高于女性的334.66/10万（χ~2=14.028,P<0.05）；男性脑卒中标化发病率为316.58/10万，高于女性的237.31/10万（χ~2=6.985,P<0.05）。脑卒中粗发病率随年龄增长呈上升趋势（χ~2=5 290.180,P<0.05），其中45～<65岁居民脑卒中粗发病率呈逐年下降趋势（AAPC=-9.135%,95%CI:-15.003%～-2.861%,P<0.05）；其他年龄组居民脑卒中粗发病率均未见明显变化趋势（P>0.05）。缺血性脑卒中粗发病率为306.08/10万，高于出血性脑卒中的76.89/10万（χ~2=137.184,P<0.05）。结论 2016—2022年金东区脑卒中粗发病率呈上升趋势，以缺血性脑卒中为主；男性和中老年人群是脑卒中防治的重点。更多还原

【Abstract】 Objective To investigate the trends in incidence of stroke in Jindong District, Jinhua City, Zhejiang Prov-ince from 2016 to 2022, so as to provide to the evidence for improving the stroke control strategy.MethodsThe inci-dence of stroke in Jindong District from 2016 to 2022 was collected through the Zhejiang Chronic Disease MonitoringInformation System, and standardized by the data of the Chinese National Population Census in 2010. The gender-,age-and subtype-specific incidence of stroke was calculated, and the trends in stroke incidence were investigated withaverage annual percent change(AAPC).ResultsA total of 9 159 stroke cases were reported in Jindong District from2016 to 2022, with crude incidence of 386.52/105and standardized incidence of 276.75/105. The crude incidence ofstroke appeared a tendency towards a rise(AAPC=3.704%, 95%CI: 0.792%-6.700%, P<0.05), while the standardized in-cidence showed no significant changing patterns(P>0.05). The crude incidence of stroke was significantly higher amongmen than among women(438.69/105vs. 334.66/105; χ~2=14.028, P<0.05), and the standardized incidence of stroke wassignificantly higher among men than among women(316.58/105vs. 237.31/105; χ~2=6.985, P<0.05). The crude incidenceof stroke appeared a tendency towards a rise with age （χ~2=5 290.180, P<0.05), and the crude incidence of stroke ap-peared a tendency towards a decline with age among residents at ages of 45 to 64 years(AAPC=-9.135%, 95%CI:-15.003% to-2.861%, P<0.05), while no significant changing patterns were found in the crude incidence of strokeamong residents at other age groups(P>0.05). The crude incidence of ischemic stroke was significantly higher than that of hemorrhagic stroke(306.08/105vs. 76.89/105; χ~2=137.184, P<0.05).ConclusionsThe incidence of stroke appeared atendency towards a rise in Jindong District from 2016 to 2022, with ischemic stroke as the predominant subtype. Maleand middle-aged and elderly populations should be given a high priority for stroke control.更多还原