甘肃省武威地区出血性脑血管病的流行病学调查

发布时间：2018-06-03 10:29

本文选题：出血性脑血管病 + 流行病学　；参考：《现代预防医学》2014年16期

【摘要】：目的调查武威地区出血性脑血管病患者的流行病学特点,分析致病危险因素。方法对甘肃省武威市凉州医院神经外科2008-2012年收治的1 120例自发性脑出血患者的临床资料进行回顾性调查,分析其流行病学与临床特点。结果 1 120例出血性脑血管病患者中,女性患者(718例,64.11%)多于男性患者,男女构成比差异有统计学意义;少数民族发病率较低;在46~75岁区间内高发(73.57%);发病高峰在春、冬季节;凌晨1:00-3:00及晨起6:00-9:00为单日高发时段;城乡结合部及城郊乡镇(距离市中心半径30 km)发病率较高;致病高危因素以高血压最多(84.82%);高血压脑出血在所有病因分类中最多见(占91.52%)。结论出血性脑血管病的发病与年龄、季节及高血压等多种因素有关。有效的预防措施和积极控制血压及加强筛查工作至关重要。
[Abstract]:Objective to investigate the epidemiological characteristics and risk factors of hemorrhagic cerebrovascular disease in Wuwei area. Methods the clinical data of 1 120 patients with spontaneous intracerebral hemorrhage admitted in Department of Neurosurgery, Liangzhou Hospital, Wuwei City, Gansu Province from 2008 to 2012 were retrospectively investigated, and their epidemiological and clinical characteristics were analyzed. Results among the 120 patients with hemorrhagic cerebrovascular disease, 718 female patients (64.11%) were more than male patients, the difference of composition ratio between men and women was statistically significant, the incidence rate of ethnic minorities was lower, the incidence rate was 73.57% in the range of 46 ~ 75 years old, the peak of incidence was in spring and winter season. 1: 00-3: 00 in the morning and 6: 00-9: 00 in the morning were the single day high incidence period; the incidence of urban and rural areas and towns (30 km from the center of the city) was higher; the most high risk factors were hypertension (84.82); hypertensive intracerebral hemorrhage was most common in all etiological classification (91.52B). Conclusion the incidence of hemorrhagic cerebrovascular disease is related to age, season and hypertension. Effective preventive measures and active blood pressure control and enhanced screening are essential.
【作者单位】：凉州医院神经外科;
【基金】：武威市科技局2012年度科研计划项目(WW120104)
【分类号】：R743.34;R181.3

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