CAJ | 학술논문

目的了解拉萨地区住院脑卒中患者的类型及其危险因素的特征.方法回顾性研究2006年4月至2008年8月在西藏自治区人民医院住院的302例脑卒中患者(男179例,女123例)的临床资料.结果拉萨地区住院脑卒中患者的平均发病年龄为(53.5±10.4)岁;其中脑出血患者223例(73.8%),脑梗死43例(14.2%),蛛网膜下腔出血36例(12.0%),发病的性别构成差异有统计学意义(χ~2=7.991,P=0.018).患者从发病到就诊的平均时间为90.0 h,脑梗死患者平均时间最长(181.0 h).脑出血和脑梗死常见的危险因素依次为高血压、饮酒、高原红细胞增多症、糖尿病、吸烟、心房纤颤.结论脑出血是拉萨地区住院脑卒中患者中主要的临床类型,患者从发病到就诊的时间较其他地区长,高血压、饮酒是当地常见的危险因素.普及脑卒中疾病常识和及时就诊的观念,提高当地群众对脑卒中的三级预防意识迫在眉睫.
목적 료해랍살지구주원뇌졸중환자적류형급기위험인소적특정.방법 회고성연구2006년4월지2008년8월재서장자치구인민의원주원적302례뇌졸중환자(남179례,녀123례)적림상자료.결과 랍살지구주원뇌졸중환자적평균발병년령위(53.5±10.4)세;기중뇌출혈환자223례(73.8%),뇌경사43례(14.2%),주망막하강출혈36례(12.0%),발병적성별구성차이유통계학의의(χ~2=7.991,P=0.018).환자종발병도취진적평균시간위90.0 h,뇌경사환자평균시간최장(181.0 h).뇌출혈화뇌경사상견적위험인소의차위고혈압、음주、고원홍세포증다증、당뇨병、흡연、심방섬전.결론 뇌출혈시랍살지구주원뇌졸중환자중주요적림상류형,환자종발병도취진적시간교기타지구장,고혈압、음주시당지상견적위험인소.보급뇌졸중질병상식화급시취진적관념,제고당지군음대뇌졸중적삼급예방의식박재미첩.
Objective To investigate the characteristics of the spectrum of stroke and its risk factors among the in-patients in the Lhasa region.Methods The clinical data of 302 in-patients with stroke (including 179 male,123 female)in the People's Hospital of Tibet Autonomous Region,between Apr 2006 and Aug 2008.were retrospectively collected and analyzed respectively.Results The mean age of onset was(53.5±10.4)years old Among 302 patients,there were 223(73.8%)cases of cerebral hemorrhage,43(14.2%)cerebral infarction and 36(12.0%)subarachnoid hemorrhage.The average duration between the onset of stroke and the hospital visit Was 90.0 hours.with the longest for cerebral infaretion(181.0 hours).The common risk factors were hypertension,alcohol eonsumption,high altitude polycythemia,diabetes,smoking and atrial fibrillation,which were list ordinally according to their frequency.Conclusions Cerebral hemorrhage is the most common type of stroke among the in-patients in Lhasa.The duration between the onset of stroke and the visit to hospital is much longer than other regions.Hypertension and alcohol consumption are the major risk factors.It is urgently needed to raise the public awareness of stroke,and to popularize its timely diagnosis,treatment,and the tertiary prevention.