CAJ | 학술논문

目的分析常德市人群脑卒中发病类型的分布特征,为脑卒中的防治提供理论依据. 方法选择常德市多中心卒中登记研究项目自2011年1月至12月登记的符合标准的脑卒中患者5338例中首次发病的3594例患者为研究对象,将入组患者按年龄段分为7组(18～29岁、30～39岁、40～49岁、50～59岁、60～69岁、70～79岁、80岁以上),对各年龄段组性别比例、发病率,各年龄段脑梗死TOAST分型分布特征、缺血性脑卒中责任血管分布特征和出血性脑卒中类型分布特征等进行研究分析. 结果 3594例患者中出血性脑卒中864例(24.0％),缺血性脑卒中2730例(76.0％).(1)各年龄段组出血性脑卒中与缺血性脑卒中患者的性别比例比较差异均没有统计学意义(P＞0.05).不同年龄段组出血性脑卒中与缺血性脑卒中患者发病率基本一致,发病高峰皆为60岁及以上.(2)大血管源性和腔隙性脑梗死的发病率较其他分型明显高.40～80岁为大血管源性和腔隙性脑梗死发病的高峰年龄段,心源性、其他病因、不明病因脑梗死的发病年龄有年轻化的趋势.(3)各年龄段缺血性脑卒中责任血管基本上以颈动脉系统为主.(4)各年龄段基本上都是以基底核区出血为主要的出血类型.蛛网膜下腔出血主要集中于30～60岁年龄段,而脑出血则集中在40～80岁年龄段. 结论常德市区域人群的缺血性脑卒中与出血性脑卒中类型分布上与国内外已有研究基本一致,但单一脑卒中危险因素可能不完全相同.
목적 분석상덕시인군뇌졸중발병류형적분포특정,위뇌졸중적방치제공이론의거. 방법 선택상덕시다중심졸중등기연구항목자2011년1월지12월등기적부합표준적뇌졸중환자5338례중수차발병적3594례환자위연구대상,장입조환자안년령단분위7조(18～29세、30～39세、40～49세、50～59세、60～69세、70～79세、80세이상),대각년령단조성별비례、발병솔,각년령단뇌경사TOAST분형분포특정、결혈성뇌졸중책임혈관분포특정화출혈성뇌졸중류형분포특정등진행연구분석. 결과 3594례환자중출혈성뇌졸중864례(24.0％),결혈성뇌졸중2730례(76.0％).(1)각년령단조출혈성뇌졸중여결혈성뇌졸중환자적성별비례비교차이균몰유통계학의의(P＞0.05).불동년령단조출혈성뇌졸중여결혈성뇌졸중환자발병솔기본일치,발병고봉개위60세급이상.(2)대혈관원성화강극성뇌경사적발병솔교기타분형명현고.40～80세위대혈관원성화강극성뇌경사발병적고봉년령단,심원성、기타병인、불명병인뇌경사적발병년령유년경화적추세.(3)각년령단결혈성뇌졸중책임혈관기본상이경동맥계통위주.(4)각년령단기본상도시이기저핵구출혈위주요적출혈류형.주망막하강출혈주요집중우30～60세년령단,이뇌출혈칙집중재40～80세년령단. 결론 상덕시구역인군적결혈성뇌졸중여출혈성뇌졸중류형분포상여국내외이유연구기본일치,단단일뇌졸중위험인소가능불완전상동.
Objective To analyze the distribution features of stroke types of patients in Changde city to provide a theoretical basis for stroke prevention.Methods A total of 3594 first-onset patients from 5338 patients with stroke met the standards of Changde city center stroke registry program,chosen from 2011 January to December 2011,were used as the research object.According to the age of the patients,they were divided into 7 groups (group of 18-29 years old,group of 30-39 years old,group of 40-49 years old,group of 50-59 years old,group of 60-69 years old,group of 70-79 years old,group of elder than 80 years old); the gender ratio,incident of disease,cerebral infarction types,responsibility vascular distributions of ischemic stroke,and hemorrhagic stroke patterns of these patients were analyzed.Results Hemorrhagic stroke was noted in 864 patients (24％) and ischemic stroke in 2730 patients (76％).No significant difference on gender was noted in hemorrhagic stroke patients and ischemic stroke patients of different age groups (P＞0.05); the incident of stroke in patients of different age groups was almost the same,with an high peak level of patients elder than 60 years old.lacunar infarction and big vasogenic cerebral infarction had higher risk of incidence than other types.Patients of 40-80 years old had the highest rate of these two stokes,while other types of stoke preferred young age person.The responsible vessels were mainly located in the arterial system.Basal ganglia hemorrhage was the main type of patients of each age group; patients of 30-60 years old mainly had subarachnoid hemorrhage and patients of 40-80 years old mainly had cerebral hemorrhage.Conclusion The ischemic stroke and hemorrhagic stroke types in Changde city are basically the same as the existing research at home and abroad; single cerebral stroke risk factors may not be the same,which needs to be further studied