162例高温季节急性脑血管病临床回顾性调查分析(1)
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[摘要] 目的:探讨高温季节本地区急性脑血管病(ACVD)发生规律,找出高危因素及临床特点,进行有效防治。方法:回顾性分析2005～2007年高温季节(7、8、9月份)在我院神经内外科住院的162例ACVD患者的临床资料,结合本地区当时气候温度进行统计学及流行病学分析。结果:162例ACVD患者,CIS 99例,CHS 57例,混合性脑卒中6例,高血压病119例,糖尿病16例,心房颤动5例,高脂血症29例。手术治疗17例,急性溶栓24例,高压氧治疗98例。平均住院天数(14.00±3.71) d;康复期未接受高压氧治疗64例,平均住院天数(18.00±4.12) d。结论:高温季节本地区ACVD以CIS为主,CHS其次,混合性脑卒中少;高血压是高温季节ACVD显著的高危因素;高温持续越长ACVD发病率越高;强化2级预防能降低高温季节ACVD发病率;积极治疗ACVD可缩短高温季节ACVD病程,降低致残程度,提高患者生活质量。
[关键词] 高温季节;ACVD;回顾性;调查分析
[中图分类号]R181.3+2 [文献标识码] C[文章编号] 1673-7210(2009)08(c)-132-03
Clinical retrospective investigation and analysis of 162 cases of ACVD in high-temperature seasons
CHEN Junhua, LUO Guanghui, LUO Caiqin, HE Zhihua, HAN Xiaoying, HE Jianzhong, YANG Wu
(Emergency Department, Center People's Hospital of Ji'an City, Ji'an 343000,China)
[Abstract] Objective: To explore the rule of ACVD occurence of this region in the high-temperature seasons, to identify the risk factors and clinical characteristics, so as to conduct effective prevention and treatment. Methods: Clinical data of 162 cases of ACVD patients who were in hospital in the department of neurology and neurosurgery in the high-temperature seasons(July,August,September) from 2005 to 2007 were analyzed retrospectively, and conducted statistical and epidemiological analysis combined with the temperature in this region at that time. Results: Among 162 cases of ACVD patients: 99 cases of CIS, 57 cases of CHS, 6 cases of mixed stroke, 119 cases of hypertension, 16 cases of diabetes, 5 cases of atria fibrillation, 29 cases ofhyperlipidemia.17 cases accepted surgery therapy, 24 cases acute thrombolysis,98 cases accepted hyperbaric oxygen therapy.The average time of hospital stay was (14.00±3.71) d; 64 cases accepted hyperbaric oxygen therapy at the end of rehabilitation period, the average time of hospital stay was(18.00±4.12) d. Conclusion: Among the ACVD in high-temperature seasons of this region, CIS ranked first, CHS second, mixed stroke least; hypertension is the high risk factor of ACVD in high-temperature seasons of this region; the longer the high-temperature continues, the higher incidence of ACVD;the strengthening of secondary prevention can reduce the incidence of ACVD in high-temperature seasons;active treatment of ACVD can shorten the course of disease, reduce the extent of disability and improve the life quality of patients ......
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