季节变化对天津市急性脑梗死患者转归影响的研究  

Relationship between Acute Cerebral Infarction and Seasonal Variations in Tianjin

作　　者：薛娟娟[1] 王林[2] 李新[1] 田晓琳[1] 刘沛霖[1] 封锐[3] 王罗莎[3] 

机构地区：[1]天津医科大学第二医院神经内科,300211 [2]天津医科大学第二医院干部保健科天津市老年病学研究所 [3] 天津医科大学第二医院干部保健科

出　　处：《天津医药》2014年第8期810-813,共4页Tianjin Medical Journal

基　　金：天津市科技计划项目(12ZCZDSY03100);天津市教委社会科学重大项目(2011ZD016)

摘　　要：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 1 871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。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.

关 键 词：脑梗死 急性病 季节规律 治疗结果 天津 

分 类 号：R743.33[医药卫生—神经病学与精神病学]