4318例高血压合并脑出血或脑梗死患者的回顾性分析

目的：回顾分析高血压合并脑出血或脑梗死患者的临床资料,查找农村居民人群与城镇居民人群高血压患者合并脑出血或脑梗死两个严重并发症的差异性。方法：收集2011－2013年到本院诊治的4318例高血压合并脑出血或脑梗死患者的病历资料,将其中的农村居民患者列为观察组,城镇居民患者列为对照组,然后对两组患者的病历资料进行回顾性分析。结果：4318例高血压合并脑出血或脑梗死患者中,观察组3135例（合并脑出血779例,合并脑梗死2356例）,占72.6%;对照组1183例（合并脑出血264例,合并脑梗死919例）,占27.4%。说明农村高血压合并脑出血或脑梗死的患者比例明显高于城镇居民。观察组及时发现、诊治高血压病的比率明显低于对照组（P＜0.01）。结论：农村居民接受疾病知识教育机会较少,知识水平相对较低,保健意识差,应加大对农村居民宣传健康知识的力度,提高此类人群的保健意识,降低其脑出血及脑梗死的发生率。

A Retrospective Analysis on 4318 Hypertensive Patients with Cerebral Hemorrhage or Infarction

Objective：To retrospectively analyze clinical data of hypertensive patients with cerebral hemorrhage or infarction and find the difference in the combination of hypertension with two serious complications-cerebral hemorrhage or infarction between rural residents and urban residents.Method：Medical records were collected from 4318 hypertensive patients with cerebral hemorrhage or infarction treated in our hospital from 2011 to 2013.Among them,rural patients were divided into observation group,and urban patients were divided into control group.Then,medical records of two groups were retrospectively analyzed. Result：The rate of combined cerebral hemorrhage and infarction in observation group was significantly higher than that in control group. In 4318 hypertensive patients with cerebral hemorrhage or cerebral infarction, 3135 patients in observation group（including 779 cases of cerebral hemorrhage and 2356 cases of cerebral infarction）, accounted for 72.6%;and 1183 patients in the control group（including 264 cases of cerebral hemorrhage and 919 cases of cerebral infarction）,accounted for 27.4%.Conclusion：Rural residents receive less educational opportunities of disease knowledge. They have relatively low levels of knowledge and poor health awareness. So the promotion of health knowledge should be enhanced to rural residents to improve health awareness of these people,thus reducing the incidence of cerebral hemorrhage and infarction.