用圆形统计分析法探讨出血性中风发病及死亡与时间的关系  

An Exploration on the Time Relationship Between Onset and Dealth of Hemorrhagic Apoplexy by Circular Statistical Analysis

作　　者：高振和[1] 何明丰[1] 梁章荣[1] 莫少庸[1] 张继平[2] 张英俭[1] 申放[1] 陈子星[1] 蔡丽云[1] 香卫红[1] 

机构地区：[1]广东省佛山市中医院急诊科,广东佛山528000 [2]广东省佛山市第二人民医院科教科,广东佛山528000

出　　处：《新中医》2005年第4期41-43,共3页New Chinese Medicine

基　　金：广东省中医药局资助课题(编号:401007)

摘　　要：目的:观察出血性中风发病及死亡与时间的关系。方法:对353例出血性中风患者用圆形统计分 析法,分析其中263例非死亡病例的发病时间及90例死亡病例的发病时间与死亡时间。结果:353例出血性中风患者 发病时间在中午11-13时间段有明显集中趋势(P<0.01),发病高峰时间点在12时11分21秒。其中90例死亡 病例发病时间在中午末时13-15时间段有一定集中趋势(0.05<P<0.1),发病高峰时间点在13时59分31秒,死亡 时间在上午6-8时间段有相对的集中趋势(P>0.10),死亡高峰时间点在7时5分35秒。263例非死亡病例发病时间 在中午11-13时间段有明显的集中趋势(P<0.01),发病高峰时间点在11时46分12秒。结论:日中午未时是出血 性中风的发病易发时段,出血性中风患者相对死亡高峰期在上午6-8时间段,提示应加强该时间段的治疗和护理。Objective: To observe the time relationship between the onset and dealth of hemorrhagic applexy (HA). Methods: 353 cases of HA were observed. The time of onset in 263 survial cases and the time of onset and dealth in 90 dead cases were observed by circular statistical analysis (CSA). Results: The onset times of 353 cases of HA were obviously centralized at 11: 00 A.M. - -13: 00 P. M. (P< 0.01), with a peak at 12°11'12'' P. M. Among them, the onset times in 90 dead cases were centralized at 13: 00 - - 15: 00 P. M. (0. 05 < P < 0. 10), with a peak at 13°59'12'' P. M. The time of dealth was centralized at 6: 00 - -8: 00 A. M. ( P > 0. 10), with a peak at 11°46'12'' A. M. The onset time of 263 survival cases was centralized at 11: 00 A. M. - - 13: 00 P. M. (P < 0.01), with a peak at 11°46'12'' A. M. Conclusion: It is indicated that noon is the vulnerable time for HA and 6: 00--8: 00 A. M. is the peak time of dealth, indicating that nursing and treatment in thus period should be emphasized.

关 键 词：出血性中风 发病时间 死亡病例 发病高峰 患者 治疗 集中趋势 观察 护理 死亡时间 

分 类 号：R743[医药卫生—神经病学与精神病学] R255.2[医药卫生—临床医学]