Stroke:中国脑卒中20年间趋势变化

2016-12-14 haofan MedSci原创

在中国脑卒中死亡率的降低可能是与医疗护理和诊疗技术的进步、高速的经济增长和快速的城市化进程以及中国民众更好的生命早期营养条件有关。此外,连续几代人接受更好的教育和更好地了解了脑卒中相关的知识也可能在脑卒中死亡率的降低中发挥了重要作用。

在中国脑卒中是主要的死亡原因,近日,卒中领域权威杂志Stroke上发表了一篇来中国湖北武汉大学公共卫生学院宇传华教授及其研究团队的文章,该研究的目的在于评估1994年至2013期间中国脑卒中死亡率的长期变化趋势。

研究人员从方法从疾病全球负担研究2013(GBD2013)中得到了中国脑卒中死亡率数据,并且采用年龄–时期–队列分析框架来进行分析这些获得的数据。

研究人员分析发现,男性每年的净变化值为-2.665%(95%可信区间为-2.854%至-2.474%),而女性每年的净变化值为−4.064%(95%可信区间为-4.279%至-3.849%),在1994年至2013年期间男性和女性中各个年龄组的局部变化值均低于0,(所有的均有P<0.05)。在同一出生队列中,对时期偏差进行控制后,脑卒中死亡的风险在男性和女性中均随着年龄的增长呈指数级增长。在男性和女性的类似单调下降模式中估计的时期和队列相对风险也被发现(所有P<0.05),在整个研究期间脑卒中相对风险在女性中比男性减少的更迅速(所有P<0.05)。

由此可见,在中国脑卒中死亡率的降低可能是与医疗护理和诊疗技术的进步、高速的经济增长和快速的城市化进程以及中国民众更好的生命早期营养条件有关。此外,连续几代人接受更好的教育和更好地了解了脑卒中相关的知识也可能在脑卒中死亡率的降低中发挥了重要作用。  

原始出处:

Zhenkun Wang, et al. Age–Period–Cohort Analysis of Stroke Mortality in China Data From the Global Burden of Disease Study 2013. Stroke.2016. 

本文系梅斯医学(MedSci)原创编译整理,转载需授权!

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    2017-01-06 虈亣靌

    值得参考、借鉴

    0

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    2016-12-25 inter158

    在中国脑卒中死亡率的降低可能是与医疗护理和诊疗技术的进步、高速的经济增长和快速的城市化进程以及中国民众更好的生命早期营养条件有关。

    0

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    2016-12-19 inter158

    评估1994年至2013期间中国脑卒中死亡率的长期变化趋势

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=168343, encodeId=9f3c168343f8, content=值得参考、借鉴, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Fri Jan 06 13:03:31 CST 2017, time=2017-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=165662, encodeId=0669165662a6, content=在中国脑卒中死亡率的降低可能是与医疗护理和诊疗技术的进步、高速的经济增长和快速的城市化进程以及中国民众更好的生命早期营养条件有关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Sun Dec 25 23:16:34 CST 2016, time=2016-12-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163985, encodeId=d597163985df, content=评估1994年至2013期间中国脑卒中死亡率的长期变化趋势, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Dec 19 06:55:51 CST 2016, time=2016-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163489, encodeId=000616348978, content=翻译质量有待提高, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/XCopLcwfzefEibM8h9nsYMgmibR4zLZCOeqia7Z7qDMNYSc9pyTpLxreSyPGnuZvYibY3Pd1g3Benxq8yuCOZwGoCw15I2549UHw/0, createdBy=09ee1996482, createdName=onlyonelucas, createdTime=Sat Dec 17 11:07:35 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162947, encodeId=189a16294ea1, content=觉得中风好可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=29ab1719082, createdName=MyQueen, createdTime=Thu Dec 15 08:07:47 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162910, encodeId=6a741629106b, content=谢谢了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=30331616752, createdName=txqjm, createdTime=Thu Dec 15 06:43:25 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162904, encodeId=ef2e162904bb, content=阅读了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Dec 15 06:19:42 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162877, encodeId=b6f51628e77c, content=新进展好东西!, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Thu Dec 15 00:04:46 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162865, encodeId=c185162865c0, content=人们对自身的健康越来越关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/a83F3vR0tA0MIdcy1lNUknjicxeZVadUVgAbuWFlcaNSym0WG830BURxjW6WG9CQ2ialkTqQn6F0uwsxNfDibK29g/132, createdBy=fe5d1953584, createdName=wb502, createdTime=Wed Dec 14 23:11:32 CST 2016, time=2016-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162859, encodeId=8a1c16285910, content=需要多加关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Wed Dec 14 23:03:29 CST 2016, time=2016-12-14, status=1, ipAttribution=)]
    2016-12-17 onlyonelucas

    翻译质量有待提高

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=168343, encodeId=9f3c168343f8, content=值得参考、借鉴, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Fri Jan 06 13:03:31 CST 2017, time=2017-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=165662, encodeId=0669165662a6, content=在中国脑卒中死亡率的降低可能是与医疗护理和诊疗技术的进步、高速的经济增长和快速的城市化进程以及中国民众更好的生命早期营养条件有关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Sun Dec 25 23:16:34 CST 2016, time=2016-12-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163985, encodeId=d597163985df, content=评估1994年至2013期间中国脑卒中死亡率的长期变化趋势, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Dec 19 06:55:51 CST 2016, time=2016-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163489, encodeId=000616348978, content=翻译质量有待提高, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/XCopLcwfzefEibM8h9nsYMgmibR4zLZCOeqia7Z7qDMNYSc9pyTpLxreSyPGnuZvYibY3Pd1g3Benxq8yuCOZwGoCw15I2549UHw/0, createdBy=09ee1996482, createdName=onlyonelucas, createdTime=Sat Dec 17 11:07:35 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162947, encodeId=189a16294ea1, content=觉得中风好可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=29ab1719082, createdName=MyQueen, createdTime=Thu Dec 15 08:07:47 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162910, encodeId=6a741629106b, content=谢谢了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=30331616752, createdName=txqjm, createdTime=Thu Dec 15 06:43:25 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162904, encodeId=ef2e162904bb, content=阅读了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Dec 15 06:19:42 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162877, encodeId=b6f51628e77c, content=新进展好东西!, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Thu Dec 15 00:04:46 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162865, encodeId=c185162865c0, content=人们对自身的健康越来越关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/a83F3vR0tA0MIdcy1lNUknjicxeZVadUVgAbuWFlcaNSym0WG830BURxjW6WG9CQ2ialkTqQn6F0uwsxNfDibK29g/132, createdBy=fe5d1953584, createdName=wb502, createdTime=Wed Dec 14 23:11:32 CST 2016, time=2016-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162859, encodeId=8a1c16285910, content=需要多加关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Wed Dec 14 23:03:29 CST 2016, time=2016-12-14, status=1, ipAttribution=)]
    2016-12-15 MyQueen

    觉得中风好可怕

    0

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    2016-12-15 txqjm

    谢谢了,学习了

    0

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    2016-12-15 刘煜

    阅读了谢谢分享。

    0

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    2016-12-15 thlabcde

    新进展好东西!

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=168343, encodeId=9f3c168343f8, content=值得参考、借鉴, beContent=null, objectType=article, channel=null, level=null, likeNumber=132, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zMoyicyo6ia9f4IuLQAwZoxD6Hx4ibd5CMcOCYhStY6oDibbKK6O2X8iaicldO5ib8j1iapOIobIKCGiczU2A/0, createdBy=56251941490, createdName=虈亣靌, createdTime=Fri Jan 06 13:03:31 CST 2017, time=2017-01-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=165662, encodeId=0669165662a6, content=在中国脑卒中死亡率的降低可能是与医疗护理和诊疗技术的进步、高速的经济增长和快速的城市化进程以及中国民众更好的生命早期营养条件有关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=129, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Sun Dec 25 23:16:34 CST 2016, time=2016-12-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163985, encodeId=d597163985df, content=评估1994年至2013期间中国脑卒中死亡率的长期变化趋势, beContent=null, objectType=article, channel=null, level=null, likeNumber=130, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20151226/IMG567EB873985DE3928.jpg, createdBy=ea941622301, createdName=inter158, createdTime=Mon Dec 19 06:55:51 CST 2016, time=2016-12-19, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=163489, encodeId=000616348978, content=翻译质量有待提高, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/XCopLcwfzefEibM8h9nsYMgmibR4zLZCOeqia7Z7qDMNYSc9pyTpLxreSyPGnuZvYibY3Pd1g3Benxq8yuCOZwGoCw15I2549UHw/0, createdBy=09ee1996482, createdName=onlyonelucas, createdTime=Sat Dec 17 11:07:35 CST 2016, time=2016-12-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162947, encodeId=189a16294ea1, content=觉得中风好可怕, beContent=null, objectType=article, channel=null, level=null, likeNumber=118, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=29ab1719082, createdName=MyQueen, createdTime=Thu Dec 15 08:07:47 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162910, encodeId=6a741629106b, content=谢谢了,学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=30331616752, createdName=txqjm, createdTime=Thu Dec 15 06:43:25 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162904, encodeId=ef2e162904bb, content=阅读了谢谢分享。, beContent=null, objectType=article, channel=null, level=null, likeNumber=98, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Thu Dec 15 06:19:42 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162877, encodeId=b6f51628e77c, content=新进展好东西!, beContent=null, objectType=article, channel=null, level=null, likeNumber=86, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=92191944782, createdName=thlabcde, createdTime=Thu Dec 15 00:04:46 CST 2016, time=2016-12-15, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162865, encodeId=c185162865c0, content=人们对自身的健康越来越关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=74, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/a83F3vR0tA0MIdcy1lNUknjicxeZVadUVgAbuWFlcaNSym0WG830BURxjW6WG9CQ2ialkTqQn6F0uwsxNfDibK29g/132, createdBy=fe5d1953584, createdName=wb502, createdTime=Wed Dec 14 23:11:32 CST 2016, time=2016-12-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=162859, encodeId=8a1c16285910, content=需要多加关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20161224/IMG585DA5E26B9F44696.jpg, createdBy=565a98798, createdName=susice, createdTime=Wed Dec 14 23:03:29 CST 2016, time=2016-12-14, status=1, ipAttribution=)]
    2016-12-14 wb502

    人们对自身的健康越来越关注

    0

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    2016-12-14 susice

    需要多加关注

    0

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