CAJ | 학술논문

目的：探讨季节变化对天津市急性脑梗死患者转归的影响。方法1871例急性脑梗死患者按发病时间分为春季组、夏季组、秋季组及冬季组，分析各组转归良好和转归不良患者一般资料、血液指标及发病年龄（＜65岁、≥65岁）情况。结果（1）急性脑梗死患者转归良好月高峰为8月（92.1%），最低为12月（78.1%），4月为次低（81.9%）。夏季组转归良好比例（91.6%）高于春季组（87.2%）、秋季组（86.4%）及冬季组（83.9%），均P<0.05。（2）各组转归不良患者中夏季组脑血管病史比例构成（43.2%）低于冬季组（68.3%）；夏季组和秋季组合并肺炎比例构成（48.6%、49.3%）均低于冬季组（69.5%）。（3）季节变化对急性脑梗死患者转归的影响主要集中在年龄≥65岁的老年人。结论天津市急性脑梗死患者转归具有季节性差异。
목적：탐토계절변화대천진시급성뇌경사환자전귀적영향。방법1871례급성뇌경사환자안발병시간분위춘계조、하계조、추계조급동계조，분석각조전귀량호화전귀불량환자일반자료、혈액지표급발병년령（＜65세、≥65세）정황。결과（1）급성뇌경사환자전귀량호월고봉위8월（92.1%），최저위12월（78.1%），4월위차저（81.9%）。하계조전귀량호비례（91.6%）고우춘계조（87.2%）、추계조（86.4%）급동계조（83.9%），균P<0.05。（2）각조전귀불량환자중하계조뇌혈관병사비례구성（43.2%）저우동계조（68.3%）；하계조화추계조합병폐염비례구성（48.6%、49.3%）균저우동계조（69.5%）。（3）계절변화대급성뇌경사환자전귀적영향주요집중재년령≥65세적노년인。결론천진시급성뇌경사환자전귀구유계절성차이。
Objective To explore the influence of seasonal variations on acute cerebral infarction outcome. Meth-ods We collected data from acute cerebral infarction patients in the Second Hospital of Tianjin Medical University from January 2009 to February 2012. All cases were classified by months and seasons into different groups to analyze the season-al variations retrospectively. Results (1) The percentage of good outcome of acute cerebral infarction show significant dif-ference between each month(P<0.01). The percentage of good outcome was highest in August(92.1%), lowest in Decem-ber(78.1%), second lowest in April(81.9%). The percentage of good outcome in summer(91.6%)was higher than spring (87.2%), autumn(86.4%)and winter(83.9%)(P<0.05). (2) Among those patients converted to bad outcome more pa-tients was attacked by cerebrovascular accident in winter(68.3%)than in summer(43.2%), and more patients was combined with a pulmonary infection in winter(69.5%)than in summer(48.6%)and in autumn(49.3%)(P<0.05). (3) Seasonal effect in acute cerebral infarction outcome was obvious in those≥65 years of age(P<0.05). Conclusion Seasonal changes are associated with the outcome and severity of acute cerebral infarction.