季节变化对天津市急性脑梗死患者转归影响的研究.pdf

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1、810TianjinMedJ，August2014，Vo1．42No．8流行病学调查季节变化对天津市急性脑梗死患者转归影响的研究薛娟娟王林李新田晓琳刘沛霖封锐。王罗莎【摘要】目的探讨季节变化对天津市急性脑梗死患者转归的影响。方法1871例急性脑梗死患者按发病时间分为春季组、夏季组、秋季组及冬季组，分析各组转归良好和转归不良患者一般资料、血液指标及发病年龄(<65岁、／>65岁)情况。结果(1)急性脑梗死患者转归良好月高峰为8月(92．1％)，最低为12月(78．1％)，4月为次低(81．9％)。夏季组转归良好比例(91．6％)高于春季组(87．2％)、秋季

2、组(86．4％)及冬季组(83．9％)，均P<0．05。(2)各组转归不良患者中夏季组脑血管病史比例构成(43．2％)低于冬季组(68．3％)；夏季组和秋季组合并肺炎比例构成(48．6％、49．3％)均低于冬季组(69．5％)。(3)季节变化对急性脑梗死患者转归的影响主要集中在年龄I>65岁的老年人。结论天津市急性脑梗死患者转归具有季节性差异。【关键词】脑梗死；急性病；季节规律；治疗结果；天津．【中图分类号】R743．33【文献标志码】A【DOI】10．39696．issn．0253-9896．2014．08．022RelationshipbetweenA

3、cuteCerebrallnfarctionandSeasonaIVariationsinTianjinXUEJuanjuan，WANGLin，LIXin，TIANXiaolin，LIUPeilin，FENGRui，WANGLuoshajDepartmentofNeurology,theSecondHospitalofTianjinMedicalUniversity，Tianjin300211，China；2DepartmentofGerontology,theSecondHospitalof死。njinMedicalUniversity，Institut

4、eofGeriatricsof死n，3DepartmentofGerontology,theSecondHospitalof?TanjinMedicalUniversityE—mail：Jessielx@126．con【Abstract】ObjectiveToexploretheinfluenceofseasonalvariationsonacutecerebralinfarctionoutcome．Meth-odsWecollecteddatafromacutecerebralinfarctionpatientsintheSecondHospitalof

5、TianiinMedicalUniversityfromJanuary2009toFebruary2012．Allcaseswereclassifiedbymonthsandseasonsintodifferentgroupstoanalyzetheseason．alvariationsretrospectively．Results(1)Thepercentageofgoodoutcomeofacutecerebralinfarctionshowsignificantdif—fereneebetweeneachmonth(P<0．01)．Thepercen

6、tageofgoodoutcomewashighestinAugust(92．1％)，lowestinDecem—ber(78．1％)，secondlowestinApril(81．9％)．Thepercentageofgoodoutcomeinsummer(91．6％)washigherthanspring(87．2％)，autumn(86．4％)andwinter(83．9％)(P<0．05)．f2)Amongthosepatientsconvertedtobadoutcomemorepa—tientswasattackedbycerebrovascu

7、laraccidentinwinter(68-3％)thaninsummer(43．2％)andmorepatientswascombinedwithapulmonaryinfectioninwinter(69．5％)thaninsummer(48．6％)andinautumn(49-3％)(P<0．05)．f3)Seasonaleffectinacutecerebralinfarctionoutcomewasobviousinthoset>65yearsofage(P<0．05)．ConclusionSeasonalchangesareassociate

8、dwiththeoutcomeandseverityofacute