中华老年心脑血管病杂志
中華老年心腦血管病雜誌
중화노년심뇌혈관병잡지
CHINESE JOURNAL OF GERIATRIC CARDIOVASCULAR AND CEREBROVASCULAR DISEASES
2014年
9期
961-963
,共3页
刘伟%于逢春%亓爱芹%张慧英%孟晓梅%冯浩%朱健
劉偉%于逢春%亓愛芹%張慧英%孟曉梅%馮浩%硃健
류위%우봉춘%기애근%장혜영%맹효매%풍호%주건
卒中%头晕%高血压%糖尿病%高脂血症%危险因素
卒中%頭暈%高血壓%糖尿病%高脂血癥%危險因素
졸중%두훈%고혈압%당뇨병%고지혈증%위험인소
stroke%dizziness%hypertension%diabetes mellitus%hyperlipidemias%risk factors
目的:探讨脑卒中所致老年急诊头晕的临床特点。方法选择173例年龄≥60岁的急诊头晕患者,根据诊断分为脑卒中组37例和非脑卒中组136例,回顾性分析2组患者临床特点的差异,并进行logistic分析。结果脑卒中组患者发病时血压≥140/90 mm Hg(1 mm Hg=0.133 kPa)、不伴肢体无力的语言障碍、偏侧肢体无力、肢体和(或)躯干共济失调、视野缺损和(或)视物成双的发生率及症状持续时间≥60 min明显高于非脑卒中组( P<0.05);高血压(OR=8.383,95% CI:2.006~35.035)、发病时血压≥140/90 mm Hg(OR=10.497,95% CI:2.014~54.710)、不伴肢体无力的语言障碍(OR=9.315,95% CI:1.493~58.131)、偏侧肢体无力(OR=2.821,95% CI:1.271~6.260)、肢体和(或)躯干共济失调(OR=9.917,95% CI:1.995~49.287)、视野缺损和(或)视物成双(OR=6.288,95% CI:1.455~27.172)和症状持续时间≥60 min(OR=10.340,95% CI:1.950~54.811)是预测患者发生脑卒中的独立危险因素。结论高血压、发病时血压升高、不伴肢体无力的语言障碍、偏侧肢体无力、肢体和(或)躯干共济失调、视野缺损和(或)视物成双及症状持续时间对评估老年头晕患者发生脑卒中的风险有重要价值。
目的:探討腦卒中所緻老年急診頭暈的臨床特點。方法選擇173例年齡≥60歲的急診頭暈患者,根據診斷分為腦卒中組37例和非腦卒中組136例,迴顧性分析2組患者臨床特點的差異,併進行logistic分析。結果腦卒中組患者髮病時血壓≥140/90 mm Hg(1 mm Hg=0.133 kPa)、不伴肢體無力的語言障礙、偏側肢體無力、肢體和(或)軀榦共濟失調、視野缺損和(或)視物成雙的髮生率及癥狀持續時間≥60 min明顯高于非腦卒中組( P<0.05);高血壓(OR=8.383,95% CI:2.006~35.035)、髮病時血壓≥140/90 mm Hg(OR=10.497,95% CI:2.014~54.710)、不伴肢體無力的語言障礙(OR=9.315,95% CI:1.493~58.131)、偏側肢體無力(OR=2.821,95% CI:1.271~6.260)、肢體和(或)軀榦共濟失調(OR=9.917,95% CI:1.995~49.287)、視野缺損和(或)視物成雙(OR=6.288,95% CI:1.455~27.172)和癥狀持續時間≥60 min(OR=10.340,95% CI:1.950~54.811)是預測患者髮生腦卒中的獨立危險因素。結論高血壓、髮病時血壓升高、不伴肢體無力的語言障礙、偏側肢體無力、肢體和(或)軀榦共濟失調、視野缺損和(或)視物成雙及癥狀持續時間對評估老年頭暈患者髮生腦卒中的風險有重要價值。
목적:탐토뇌졸중소치노년급진두훈적림상특점。방법선택173례년령≥60세적급진두훈환자,근거진단분위뇌졸중조37례화비뇌졸중조136례,회고성분석2조환자림상특점적차이,병진행logistic분석。결과뇌졸중조환자발병시혈압≥140/90 mm Hg(1 mm Hg=0.133 kPa)、불반지체무력적어언장애、편측지체무력、지체화(혹)구간공제실조、시야결손화(혹)시물성쌍적발생솔급증상지속시간≥60 min명현고우비뇌졸중조( P<0.05);고혈압(OR=8.383,95% CI:2.006~35.035)、발병시혈압≥140/90 mm Hg(OR=10.497,95% CI:2.014~54.710)、불반지체무력적어언장애(OR=9.315,95% CI:1.493~58.131)、편측지체무력(OR=2.821,95% CI:1.271~6.260)、지체화(혹)구간공제실조(OR=9.917,95% CI:1.995~49.287)、시야결손화(혹)시물성쌍(OR=6.288,95% CI:1.455~27.172)화증상지속시간≥60 min(OR=10.340,95% CI:1.950~54.811)시예측환자발생뇌졸중적독립위험인소。결론고혈압、발병시혈압승고、불반지체무력적어언장애、편측지체무력、지체화(혹)구간공제실조、시야결손화(혹)시물성쌍급증상지속시간대평고노년두훈환자발생뇌졸중적풍험유중요개치。
Objective To study the clinical characteristics of emergency dizziness induced by ische-mic stroke (IS ) in elderly people .Methods One hundred and seventy-three emergency dizziness patients with their age ≥ 60 years were divided into IS group (n= 37) and non-IS group (n=136) .Their clinical characteristics were analyzed by logistic regression analysis .Results The in-cidence of BP≥140/90 mm Hg (1 mm Hg=0 .133 kPa) at the disease onset extremity weakness-free speech disturbance ,unilateral weakness ,extremity and/or gait ataxia ,visual field defect and/or diplopia ,and symptom duration were significantly higher in IS patients than in non-IS patients (P<0 .05) .Hypertension history ,blood pressure≥140/90 mm Hg at the disease onset ,extremity weakness-free speech disturbance ,unilateral weakness ,extremity and/or gait ataxia ,visual field defect and/or diplopia ,and symptom duration were the independent risk factors for IS in elderly dizziness patients (P<0 .05 ,P<0 .01) .Conclusion Hypertension ,blood pressure≥140/90 mm Hg at the disease onset ,extremity weakness-free speech disturbance ,unilateral weakness ,extrem-ity and/or gait ataxia ,visual field defect and/or diplopia ,and symptom duration are of great value in assessing the risk of IS in elderly dizziness patients .