天津医药

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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1,王林1,李新2,田晓琳2,刘沛霖1,封锐3,王罗莎3   

  1. 1. 天津医科大学第二医院
    2. 天津医科大学第二医院神经内科
    3. 天津医科大学第二医院干部保健科
  • 收稿日期:2013-11-20 修回日期:2014-04-02 出版日期:2014-08-15 发布日期:2014-08-15
  • 通讯作者: 李新

Relationship between Acute Cerebral Infarction and Seasonal Variations in Tianjin

XUE Juanjuan ,WANG Lin ,LI Xin ,TIAN Xiaolin ,LIU Peilin ,Rui FENG,WANG Luosha   

  • Received:2013-11-20 Revised:2014-04-02 Published:2014-08-15 Online:2014-08-15
  • Contact: LI Xin

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摘要： 【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   回顾性分析2009年1月～2012年12月的1871例天津市急性脑梗死患者的住院资料，按发病时间分组，分析季节变化对急性脑梗死患者发病30d内出院转归的影响。结果    ①发病于夏季的患者转归良好百分比最高，较其他三季有统计学意义(P<0.05)。②急性脑梗死患者转归不良百分比以发病于冬季12月份为月高峰，而夏季8月为月低谷，4月份为转归不良次高峰，转归良好的月变异情况与之相反（P<0.05）。③在转归不良组，合并肺炎的患者在冬季发病较夏秋季多，既往有脑血管病史的患者在冬季发病较夏季多（P<0.05）。④季节变化对急性脑梗死患者转归的影响主要集中在年龄≥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

Abstract:

[Abstract] Objective   To explore the influence of seasonal variations on acute cerebral infarction outcome.Meth?
ods   We collected data from acute cerebral infarction patients in the Second Hospital of Tianjin Medical University from January2009to February 2012. All cases were classified by months and seasons into different groups to analyze the season?al variations retrospectively.Results   (1) The percentage of good outcome of acute cerebral infarction show significant dif?ference between each month （P<0.01）. The percentage of good outcome was highest in August （92.1%）, lowest in Decem?ber（78.1%）, second lowest in April（81.9%）. The percentage of good outcome in summer （91.6%）was higher than spring（87.2%）, autumn （86.4%）and winter（83.9%）（P<0.05）. (2) Among those patients converted to bad outcome more pa?tients was attacked by cerebrovascular accident in winter （68.3%）than in summer （43.2%）, and more patients was combinedwith a pulmonary infection in winter（69.5%）than in summer （48.6%）and in autumn（49.3%）（P<0.05）. (3) Seasonal effect in acute cerebral infarction outcome was obvious in those ≥65years of age（P<0.05）. Conclusion   Seasonal changes are associated with the outcome and severity of acute cerebral infarction

Key words: brain infarction, acute disease, season rhythm, treatment outcome, Tianjin