自发性脑出血患者767例流行病学分析  被引量:15

Epidemiological analysis of spontaneous intracerebral hemorrhage of 767 cases

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作  者:刘文鹏 郑冬[2] 黄家明[3] 崔绍杰 方伟武 邢士玲 张春梅 黄豪 

机构地区:[1]解放军第三0六医院神经外科,北京100101 [2]解放军第三0六医院放射科,北京100101 [3]大连市中心医院神经外科 [4]解放军第三0六医院麻醉科,北京100101

出  处:《中国综合临床》2015年第1期33-35,共3页Clinical Medicine of China

摘  要:目的探讨自发性脑出血病例的流行病学特点,筛查其危险因素,分析与病死率之间的关系。方法回顾性分析解放军第三O六医院10年间首诊收治的自发性脑出血病例767例,对其流行病学资料进行统计分析,筛查其危险因素。结果(1)性别因素:该组病例中男性(499例)与女性(268例)病例数之比为1,9:1,男女病死率比为0.8:1;女性略高于男性,但差异无统计学意义(P〉0.05)。(2)年龄因素:65岁以上老年病例为298例,占38.9%,其病死率为19.8%(59/298),显著高于中青年患者的11.3%(53/469)(x2=10.553,P=0.02)。(3)时间因素:凌晨、上午、下午、傍晚和夜间各时段的病死率比较差异有统计学意义(X2=28.632,P〈0.05),进一步两两比较,凌晨的病死率与上午、下午、傍晚和夜间差异均有统计学意义(P均〈0.05)。(4)发病生活状态:病死率最高的是睡眠中发病者,其次是如厕时,最少的是Et常活动者(x。=25.526,P〈0.05),进一步两两比较,睡眠时病死率明显高于日常活动者病死率(P〈0.05)。(5)既往病史和服药情况:长期服用阿司匹林病死率明显高于高血压、脑出血、糖尿病及其他病史的病死率(x2=26.264,P〈0.05)。结论自发性脑出血病例多见于男性,中青年病例增多,但老年病例病死率较高。睡眠中发病者病死率较高,既往有高血压病史较常见,长期服用阿司匹林者病死率最高。Objective To study the epidemiology of spontaneous intracerebral hemorrhage and the correlation with the mortality of the cases suffered from this disease. Methods Seventy hundred and sixty-seven cases with spontaneous intracerebral hemorrhage who were treated in the No. 306th Hospital of the Chinese People's Liberation Army during the pass 10 years were selected as our subjects. The relative information was recorded. Results ( 1 ) Gender factor: The ratio of male(499 cases) to female (268 cases) of all patients was 1.9 : 1 and the ratio of the mortality of male cases to that of female was 0. 8 : 1. The mortality of female was higher than of male, but the difference was not significant(P 〉 0. 05 ) (2) Age factor:The mortality of the elder cases ( age ≥ 65,298 cases) was 19. 8% ( 59/298 ) , higher than that of the younger ones ( 11.3% ( 53/469 ), X2 = 10. 553 ,P = 0.02). (3) Time factor: There were significant difference in term of the mortality rate of the periods of early in the morning, morning, afternoon, evening and night periods ( X2 = 28. 632, P 〈 0. 05 ) , and further more comparison, the mortality rate of period of early in the the morning was significantly different with the period of morning, afternoon, evening and night ( P 〈 0. 05 ). ( 4 ) The incidence of life state : the highest mortality rate was the patients in the sleeplng, followed by going to the toilet, and the least was doing daily activities (X2 = 25. 526, P 〈 0. 05 ), and further more comparison, the mortality rate of sleeping was significantly higher than that of the daily activities ( P 〈 0.05 ). ( 5 ) The past disease history: The mortality rate of long-term aspirin was significantly higher than that of cerebral hemorrhage, hypertension, diabetes and other medical history rate(X2 = 26. 264, P 〈 0. 05 ). Conclusion The mortality is increasing and most of the cases are male. The younger cases are increasing rapidly and many cases fell ill in t

关 键 词:自发性脑出血 流行病学 病死率 

分 类 号:R743.34[医药卫生—神经病学与精神病学]

 

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