Doyon B, Serrano G, Marc-Vergnes J P
Institut National de la Santé et de la Recherche Médicale, Toulouse, France.
Stroke. 1988 Mar;19(3):330-4. doi: 10.1161/01.str.19.3.330.
Cerebrovascular disease mortality in France during the period 1968-1978 was compared with cardiovascular and all other causes of death. Our study demonstrated a 25% decline in the age-adjusted cerebrovascular disease mortality rates in both sexes and particularly in the middle-aged groups. This decline is greater than that of the general causes of mortality, which was on the order of 20%. It parallels the decline in congestive heart failure mortality but differs from that of ischemic heart disease. Nevertheless, despite the increase in the proportion of elderly people in the population, the total number of deaths from cerebrovascular diseases has remained almost unchanged, although the deaths occur at a higher age than previously. If this trend is confirmed, cerebrovascular diseases will remain one of the more frequent causes of death in the elderly and thus a social problem of crucial importance.
对1968年至1978年期间法国脑血管疾病死亡率与心血管疾病及所有其他死因进行了比较。我们的研究表明，经年龄调整后的脑血管疾病死亡率在男女两性中均下降了25%，特别是在中年人群体中。这一下降幅度大于总体死亡率的下降幅度，总体死亡率下降幅度约为20%。它与充血性心力衰竭死亡率的下降情况相似，但与缺血性心脏病死亡率的下降情况不同。然而，尽管人口中老年人的比例有所增加，但脑血管疾病的死亡总数几乎保持不变，尽管死亡发生的年龄比以前更高。如果这一趋势得到证实，脑血管疾病将仍然是老年人中较为常见的死因之一，因此是一个至关重要的社会问题。
