411例脑梗死病例发病特点及相关危险因素分析.docxVIP

第 第 PAGE 1 页 共 NUMPAGES 1 页 411例脑梗死病例发病特点及相关危险因素分析 【摘要】 目的 分析脑梗死病例的发病特征及相关危险因素。方法 分析病例的人群分布、季节及时点分布，将高血压、冠心病、糖尿病、高血脂、烟酒嗜好作为与脑梗死发病相关的危险因素，对各年龄组病例各因素所占比例进行分析比较。结果 脑梗死发病男性多于女性，平均年龄65岁，高发年龄为60～79岁；发病月分布季节性较差，每天时点分布呈一定的“季节性”，第7时点发病最多；脑梗死病例中各种发病危险因素的比例明显高于正常人群，高血压所占比例最高，高血脂、烟酒嗜好在各年龄组病例中所占的比例差异有统计学意义。结论 脑梗死发病的高峰时间为每天7~19时，高血压为发病的主要危险因素，高血脂及烟酒嗜好正在逐步成为中青年人发病的主要危险因素。  【关键词】 脑梗死； 发病特点； 相关危险因素  Analysis of clinical characteristics and related risk factors from 411 cases with cerebral infarction QUAN Tian-mei.Center for Disease Control and Prevention of Jingmen,Jingmen 448000,China  【Abstract】 Objective To analyze the clinical characteristics and the related risk factors of cerebral infarction.Methods The population,seasonal and point distributions of 411 infarction cases were analyzed.The proportion of risk factors related to infarction including hypertension,coronary heart disease,diabetes,high cholesterol and tobacco and alcohol abuse in each age group were compared.Results The infarction onset of male was more than that of female,average incidence age was 65,high-risk group was 60～79.The seasonal distribution was not obvious,point distribution showed some “seasonal”,and most of outbreak were in 7th point.The proportion of various risk factors in cases of infarction was higher than normal population,hypertension pressured highest proportion,there was a significant difference between high cholesterol and tobacco and alcohol abuse in each age group.Conclusion The onset of cerebral infarction is the peak hours of 7～19 every day,hypertension is a major risk factor of disease, high cholesterol and tobacco and alcohol abuse are gradually becoming the main risk factors for infarction in young people.  【Key words】 Cerebral infarction； Clinical characteristic； Related risk factors  脑血管病是目前人类病死率最高的三大类疾病之一，其中脑梗死发病率较高，尤以中老年人多见。笔者对2010年1月~2010年12月收住荆门市第二人民医院的411例脑梗死患者的发病特点及相关危险因素进行了观察分析，现将结果报告如下。  1 资料与方法  1.1 一般资料 从荆门市第二人民医院病案室选择2010年1月1日~2010年12月31日