常德市自发性脑出血流行病学分析  

Epidemiological analysis of spontaneous intracerebral hemorrhage in Changde City

作　　者：朱建明[1] 李炎灯[1] 黄志华[1] Zhu Jianming;Li Yandeng;Huang Zhihua(The First People' s Hospital of Changde, Changde, Hunan, 415000, China)

机构地区：[1]常德市第一人民医院神经内科

出　　处：《当代医学》2019年第26期86-89,共4页Contemporary Medicine

摘　　要：目的探讨本地区自发性脑出血疾病的流行病学特点,为其预防策略的制定提供科学依据。方法对2013年至2017年来本院就诊最后确诊为自发性脑出血患者信息资料进行回顾性分析,揭示其年龄组(15~44岁为青年、45~64岁为中年、≥65岁为老年)、性别、户籍类别(城市、城镇、农村)、发病时间(1~4季度)、出血部位(脑干、脑叶、丘脑、小脑、脑室、基底节)等的流行病学特征。结果在1 473例自发性脑出血患者中,男、女患者构成比例为2.20∶1,青年、中年、老年患者分别占6.11%、50.03%和43.86%,城市、城镇和农村患者分别占32.65%、25.87%和41.48%,1~4季度患者分别占23.42%、24.92%、22.54%和29.46%。就出血部位而言,基底节出血最为常见(接近50%),按性别、户籍类别、发病时间分析,出血部位顺位除第2季度为基底节、脑叶、丘脑、脑干、小脑和脑室外,均为基底节、丘脑、脑叶、脑干、小脑和脑室;但各年龄组则各有其特点:青年组为基底节、脑干、丘脑、脑叶、脑室和小脑,中年组为基底节、丘脑、脑干、脑叶、小脑和脑室,老年组为基底节、丘脑、脑叶、小脑、脑干和脑室。结论本地区自发性脑出血发生率男性远高于女性,第4季度相对高发,患病年青化现象明显,各年龄组出血部位特点值得关注与研究。Objective To investigate the epidemiological characteristics of spontaneous intracerebral hemorrhage in this region and further to provide scientific basis for the development of its prevention strategy. Methods The data of cases with spontaneous intracerebral hemorrhage who were diagnosed in our hospital from 2013 to 2017, including sex, age(classified according to young group of 15-44 years old, middle age group of45-64 years old and elderly group of ≥65 years old), household registration(categorized as city, town and rural), onset time(each quarter of one year) and bleeding site(brain stem, lobes, thalamus, cerebellum, ventricle, basal ganglia), were retrospectively analyzed for revealing the epidemiological. Results Among the 1 473 cases of cerebral hemorrhage, the proportion of male and female cases was 2.20∶1. The group of young, middleaged and elderly cases accounted for 6.11%, 50.03% and 43.86% respectively. The percentages of cases resided in city and town and rural were32.65%, 25.87 % and 41.48% while that of cases occurring in each quarter of one year were 23.42%, 24.92%, 22.54% and 29.46%, respectively. As to bleeding site, nearly 50% occurred in basal ganglia hemorrhage. The orders of bleeding site from high frequency to low frequency were basal ganglia, thalamus, lobes, brain stem, cerebellum and ventricles among various cases classified according to sex and household registration and onset time excepting the second quarter, of which the order was basal ganglia, lobes, thalamus, brain stem, cerebellum and ventricle. But, the orders of bleeding site from high frequency to low frequency were not the same for the different age group: it was basal ganglia, brain stem, thalamus, lobe, ventricles,cerebellum for young group and basal ganglia, thalamus, brain stem, lobes, cerebellum, ventricles for middle age group and basal ganglia, thalamus,lobes, cerebellum, brain stem, ventricles for elderly group. Conclusion The incidence of spontaneous intracerebral hemorrhage of male in the region is much higher

关 键 词：自发性脑出血 流行病学 常德市 

分 类 号：R743.34[医药卫生—神经病学与精神病学]