CAJ | 학술논문

脑卒中作为一个全球性的健康问题，是影响伤残调整寿命年第3位的原因。脑卒中造成的死亡和残疾为发展中国家带来了沉重的经济负担。中国作为拥有世界上最多人口的发展中国家，在经历经济迅猛发展的同时，老年人口的数量也在不断增加。流行病学研究显示，脑卒中的发病率随着年龄的增加而增长，脑卒中的病死率从1990至2000年以来逐渐增加，从21世纪初开始逐渐下降，这可能与有效控制脑血管病相关危险因素和急性脑卒中的早期预防密切相关。中国是一个地理环境差异明显的国家，中国人的生活方式在过去的30年中也发生了巨大变化，地理差异和血管危险因素的不断变化决定了中国脑卒中的患病率和亚型。文中就中国脑卒中的决定因素以及潜在方向进行讨论。
뇌졸중작위일개전구성적건강문제，시영향상잔조정수명년제3위적원인。뇌졸중조성적사망화잔질위발전중국가대래료침중적경제부담。중국작위옹유세계상최다인구적발전중국가，재경력경제신맹발전적동시，노년인구적수량야재불단증가。류행병학연구현시，뇌졸중적발병솔수착년령적증가이증장，뇌졸중적병사솔종1990지2000년이래축점증가，종21세기초개시축점하강，저가능여유효공제뇌혈관병상관위험인소화급성뇌졸중적조기예방밀절상관。중국시일개지리배경차이명현적국가，중국인적생활방식재과거적30년중야발생료거대변화，지리차이화혈관위험인소적불단변화결정료중국뇌졸중적환병솔화아형。문중취중국뇌졸중적결정인소이급잠재방향진행토론。
Stroke, a global health problem, is ranked the third as a cause of disability-adjusted life-years (DALYs) according to the study of global burden of disease 2010 (GBD 2010). Stroke-related death and disability caused a heavy economic burden and social spending for developing countries. China is a developing country with the largest population in the world. And the number of elderly population is also increasing rapidly. Epidemiological studies have shown that the incidence of stroke increased with age, stroke mortality gradually increased from 1990 to early 2000, and began to decline from early 21st century because of cerebrovascular disease risk factors being effectively controlled and early prevention of acute stroke. China is a large country with substantial geographic disparities, and Chinese people's life styles in the past three decades have undergone tremendous changes. Geographic differences and changing vascular risk factors have determined the Chinese stroke prevalence and subtypes. This paper discussed the determinants and the potential direction of cerebrovascular disease.