新疆地区脑卒中数据库7250例临床分析

目的通过对新疆石河子地区7250例脑卒中数据库进行分析,了解脑卒中的发病特点和规律,为脑卒中临床防治提供依据。方法回顾性分析我科卒中单元收录的脑卒中数据库资料7250例,研究脑卒中的发病特点及类型。结果同期脑卒中患者中年龄构成比为20～29岁占0.25%,30～39岁占1.23%,40～49岁占6.99%;50～59岁占13.40%;60～69岁占38.60%;70～79岁占32%;80～89岁占7.37%;90～100岁占0.18%;60～80岁为脑卒中好发年龄;男性患脑卒中的比例较女性明显增高,男:女为1.16∶1;维吾尔族76例,哈萨克族17例,回族263例,锡伯族8例,蒙古族5例,汉族6881例;脑梗死(3862)比例明显高于脑出血(1122),脑梗死/脑出血为3.44∶1;急性脑梗死溶栓率为1.48%;脑卒中危险因素依次为:高血压、心脏病、高脂血症等。结论 60～80岁为脑卒中的高发年龄段,男性较女性更易发病,脑梗死为脑卒中的常见类型,高血压是本组脑卒中患者的首发危险因素。

Clinical analysis of 7250 cases of stroke data banks

Objective To analyze a database of 7250 cases of stroke retrospectively in city of Shihezi in Xinjiang,in order to understand the characteristics and laws of the morbility of stroke,and to provide the basis for the clinical prevention of stroke.Methods Retrospective analysis of stroke unit database in the department included information of 7250 cases of stroke,and the incidence of stroke features and types were analyzed.Results The age composition of the same period in stroke patients were as follows:20~29 yo,0.25%;30~39 yo,1.23%;40~49 yo,6.99%;50~59 yo,13.40%;60~69 yo,38.60%;70~79 yo,32%;80~89 yo,7.37%;90~100 yo,0.18%.60~80 years old patients showed more frequency for the stroke.The proportion of male stroke patients was significantly higher than female’s,and the rato was 1.16:1.There were 76 Uighurs cases,7 Kazak cases,263 cases of Hui nationality,8 cases of Xibo nationality,5 cases of Mongolian and 6881 Han cases.Cerebral infarction(3862 cases)was significantly more than cerebral hemorrhage(1122 cases),the rato was 3.44:1,Thrombolysis rate in acute cerebral infarction was 1.48%.Risk factors for stroke were hypertension,heart disease,hyperlipidemia and so on.Conclusion The age range of 60~80 years old shows high incidence of stroke,Stoke incidence of male ones is higher than females.Cerebral infarction is a common type of stroke.High blood pressure is the top risk factors for stroke.