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[北京复发性中风事件的发病率趋势]

[Trends regarding the incidence of recurrent stroke events in Beijing].

作者信息

Liu Jun, Zhao Dong, Wang Wei, Sun Jia-yi, Li Yan, Jia Yan-na

机构信息

Department of Epidemiology, Beijing Anzhen Hospital, Capital University of Medical Science, Beijing 100029, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2007 May;28(5):437-40.

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/ 100 000. 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.

摘要

目的

探讨1984年至2000年北京35至74岁人群复发性卒中事件的发病趋势及分布情况。

方法

在中美心血管病流行病学合作研究(Sino-MONICA)项目中,1984年至2000年对北京35 - 74岁的男性和女性急性卒中事件进行标准化登记。复发性卒中事件定义为首次卒中发作后28天内复发。

结果

1984年至2000年,复发性卒中事件的发病率从89.51/10万增至143.34/10万。在17年的随访期内,缺血性复发性卒中的发生率增加了153%,出血性卒中的发生率下降了42.94%。在所有事件中,卒中的复发率占29.8%。该比率男性(31.7%)高于女性(26.9%)。男性复发性卒中事件发生率每年增加1.6%,高于女性的0.6%。有高血压、糖尿病、冠心病病史的受试者复发性卒中发生率更高。

结论

1984年至2000年的17年观察期内,卒中事件的复发率显著增加。有高血压、糖尿病和冠心病病史的受试者复发性卒中发生率高于其他受试者。

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