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不同性别青年脑出血临床分析
引用本文:张瀚文,徐瑾,李澎,杨月嫦,熊建美,刘振宇,赵翔翔,赵忠新.不同性别青年脑出血临床分析[J].现代神经疾病杂志,2014(11):1023-1026.
作者姓名:张瀚文  徐瑾  李澎  杨月嫦  熊建美  刘振宇  赵翔翔  赵忠新
作者单位:第二军医大学附属长征医院神经内科,上海200003
基金项目:上海市医学会“神经疾病转化研究科学基金”资助项目(项目编号:SHNR-008)
摘    要:回顾分析近5年不同性别青年脑出血患者临床资料,男性60例、女性28例,男女比例约为2.14∶1。诸多危险因素中,男性吸烟(35%对0,P=0.000)、饮酒(28.33%对0,P=0.002)比例高于女性,女性高脂血症比例高于男性(10.71%对0,P=0.030)。男性脑出血病因以高血压居多(40%对14.29%,P=0.016)、女性以脑血管畸形为主(50%对23.33%,P=0.012),男性脑出血好发部位主要位于基底节(35%对14.29%,P=0.045)、女性以脑叶为主(67.86%对40%,P=0.015)。提示不同性别青年脑出血在危险因素、出血部位、病因方面均存在差异。

关 键 词:脑出血  性别因素

Gender difference of intracerebral hemorrhage in young people: a clinical analysis of 88 cases
Authors:ZHANG Han-wen  XU Jin  LI Peng  YANG Yue-chang  XIONG Jian-mei  LIU Zhen-yu  ZHAO Xiang-xiang  ZHAO Zhong-xin
Institution:(Department of Neurology, Changzheng Hospital, the Second Military Medical University of Chinese PLA, Shanghai 200003, China)
Abstract:The study retrospectively analyzed the clinical data of young people of different genderswith intracerebral hemorrhage(ICH) in recent 5 years. There were 60 male and 28 female patients, and theratio of men to women was 2.14∶1. During lots of risk factors for ICH, men had more smoking(35% vs 0,P = 0.000) and drinking history(28.33% vs 0, P = 0.002) than women, while women had morehyperlipidemia than men(10.71% vs 0, P = 0.030). For cerebral hemorrhage etiology, male patients who gotICH because of hypertension were more than female patients(40% vs 14.29%, P = 0.016), while femalepatients who got ICH due to cerebrovascular malformation were more than male patients(50% vs 23.33%,P = 0.012). The bleeding locations of men were mostly located in the basal ganglia(35% vs 14.29%, P =0.045), while the bleeding locations of women were mostly located in the cerebral lobe(67.86% vs 40%, P =0.015). The results suggested that there were gender difference in etiology, bleeding locations, and riskfactors for ICH in young people.
Keywords:Cerebral hemorrhage  Sex factors
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