| 卞京京,耿德勤,陆召军,等.醒后与非醒后出血性脑卒中危险因素的对比研究[J].安徽医药,2019,23(2):273-276. |
| 醒后与非醒后出血性脑卒中危险因素的对比研究 |
| A comparative study of risk factors in patients with wake-up hemorrhagic stroke and non-wake-up hemorrhagic stroke |
| 投稿时间：2017-03-07 |
| DOI： |
| 中文关键词: 自发性脑出血 醒后卒中 危险因素 高血压 |
| 英文关键词: Intracerebral hemorrhage Wake-up stroke Risk factor Hypertension |
| 基金项目:徐州市科技局重点课题(KC14SX016) ◇临床医学◇醒后与非醒后出血性脑卒中危险因素的对比研究卞京京1,耿德勤3,陆召军2,高修银2,赵利珍1,周云题1 (1.徐州医科大学研究生学院,江苏 徐州 2210022.徐州医科大学公共卫生学院,江苏 徐州 221002；2.徐州医科大学附属医院神经内科,江苏 徐州 221002) |
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| 中文摘要: |
| 目的 探讨醒后及非醒后出血性脑卒中各种发病影响因素的差异。方法 收集2015年1月至2016年2月徐州医学院附属医院神经内科、神经外科及康复科入院治疗的自发性脑出血病人223例,将病人按照发病时的状态分为醒后脑卒中27例及非醒后脑卒中196例。采集病人一般情况、入院情况、既往病史、家族病史等数据,并完成入院体格检查及相关辅助检查。使用SPSS 1 8.0软件对数据进行统计分析。结果 醒后与非醒后出血性脑卒中在发病年龄≥65岁(17例比73例)、体质量指数≥24 kg/m2(19例比81例)、高血压(6例比135例)、脑血管淀粉样变性(8例比12例)方面差异有统计学意义(P＜0.05)；两组在吸烟、饮酒、房颤、糖尿病、高脂血症、血液病、脑血管病史、冠心病、脑血管畸形、服用药物方面比较差异无统计学意义(P>0.05)。结论 醒后出血性脑卒中和非醒后出血性脑卒中的危险因素并非完全一致。相对于醒后出血性脑卒中,高血压疾病更容易诱发非醒后出血性脑卒中；而相对于非醒后出血性脑卒中,年龄(≥65岁)及超重(体质量指数≥24 kg/m2)因素与醒后出血性脑卒中关系更为密切。 |
| 英文摘要: |
| Objective To explore the differences in risk factors between wake-up and non-wake-up hemorrhagic stroke.Methods A total of 223 cases of spontaneous intracerebral hemorrhage patients were collected from the departments of neurology,neurosurgery,and rehabilitation of the Affiliated Hospital of Xuzhou Medical College from January 2015 to February 2016 and according to the situation of patients (non-awake or awake) they were assigned into wake-up hemorrhagic stroke group (n=27) and non-wake-up hemorrhagic stroke group (n=196).Data of patients were collected,including general information,status at admission,medical history,and family history etc.Meanwhile,the patients completed the physical examination and auxiliary examination at admission.The data were statistically analyzed by SPSS18.0.Results There were significant differences between wake-up hemorrhagic stroke and non-wake-up hemorrhagic stroke in onset age≥65 years (17 cases vs.73 cases),BMI≥24 kg/m2(19 cases vs. 81 cases),hypertension (6 cases vs. 135 cases),cerebral amyloid (8 cases vs. 12 cases) (P<0.05);there were no significant differences in smoking,drinking,atrial fibrillation,diabetes,hyperlipidemia,blood disease,history of stroke,coronary heart disease,vascular malformations,and medication (P>0.05).Conclusion The risk factors of wake-up hemorrhagic stroke are different from those of non-wake-up hemorrhagic stroke.In comparison with wake-up hemorrhagic stroke,hypertension is most likely to be the risk factor of non-wake-up hemorrhagic stroke.And the risk factors like age (≥65 years) and overweight (BMI≥24 kg/m2) are more closely related to wake-up hemorrhagic stroke. |
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