青海脑出血患者危险因素初步分析

发布时间：2018-07-31 05:09

【摘要】：目的对脑出血发病特点和危险因素进行初步分析,结合我省特殊的高原环境,从而为寻找更为及时有效的救治方法及降低脑出血的发病率、致残率和死亡率提供参考。方法采用回顾性分析的方法,对我院神经内科2014年11月3日至2015年11月3日202例脑出血出院患者的病历进行分析,找出与发病率相关危险因素。结果中老年人群患病率高,≥50岁发病率为86.6%,≥60岁发病率为58.4%,有高血压合并高同型半胱氨酸血症的患者分别占脑出血患病率的93.5%和76.8%,其中居住地海拔在2800米以上的患者为40例(19.8%),居住地海拔在2500米以上的患者为89例(44.5%),其中海拔大于2200米的以上的患者为162例(80.2%)。结论 "三高血症"及高同型半胱氨酸血症是脑出血的主要危险因素,高原中高海拔地区的低氧环境对脑出血的发病可能有促进作用,积极降血压、血糖、血脂及同型半胱氨酸可减轻脑出血的发病率、致残率及死亡率,提高患者的生活质量。
[Abstract]:Objective to analyze the characteristics and risk factors of intracerebral hemorrhage (ICH), combined with the special plateau environment in our province, so as to find more timely and effective treatment methods and to reduce the morbidity, disability rate and mortality rate of ICH. Methods the medical records of 202 patients with intracerebral hemorrhage from November 3, 2014 to November 3, 2015 were analyzed retrospectively, and the risk factors related to morbidity were found out. Results the prevalence rate of middle and old people was high. The incidence of intracerebral hemorrhage was 93.5% in patients with hypertension and hyperhomocysteinemia, and 76.8m in patients with hyperhomocysteinemia. 40 cases (19.8%) lived above 2800 meters above sea level, and 40 cases (19.8%) lived in the sea. 89 (44.5%) patients were above 2500 meters, and 162 (80.2%) were above 2200 meters above sea level. Conclusion "three hyperthermia" and hyperhomocysteinemia are the main risk factors of cerebral hemorrhage. The hypoxic environment at high altitude may promote the development of cerebral hemorrhage, and decrease blood pressure and blood sugar actively. Blood lipids and homocysteine can reduce the incidence of cerebral hemorrhage, disability rate and mortality, and improve the quality of life of patients.
【作者单位】：青海省人民医院神经内科;青海大学附属医院;
【基金】：青海省科技支撑计划(2014-NS-120-1)
【分类号】：R743.34

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