ObjectiveTo analyze the epidemiological characteristics and trend of stroke death among registered residents in Hexi District of Tianjin from 2007 to 2019，and to provide scientific basis for evaluation of comprehensive prevention and control strategies and measures of stroke.

MethodsAll death monitoring data of the residents was collected and the crude mortality， standardized mortality and annual percent change （APC） of stroke were obtained by statistical treatment.

ResultsA total of 15 235 stroke deaths were reported in Hexi District of Tianjin from 2007 to 2019，with an average annual mortality rate of 144.59/10⁵. The rate was higher in males than in females （169.02/10⁵ in males and 121.04/10⁵ in females， P<0.001）. The crude mortality rate showed an upward trend with the year （APC=1.51%， P<0.05）. The standardized mortality rate showed a downward trend （APC=-1.39%， P<0.05）. The crude mortality of ischemic stroke showed an upward trend with the year （APC=3.15%， P<0.01）， and the trend change in standardized mortality rate had no statistical significance. The crude mortality and standardized mortality of hemorrhagic stroke showed a downward trend，with the mortality rate decreased at 2.43% per year and the standardized mortality rate decreased at the 4.50% per year （all P<0.05）.

ConclusionStroke is the main disease affecting the health of residents in Hexi District of Tianjin. Targeted measures should be taken to reduce the mortality of stroke. Stroke prevention and control should focus on winter and spring seasons， males， elderly people and patients with ischemic stroke.