急性脑血管病发病诱因228例临床分析

摘要

objective to study the correlation incentive cause of acute cerebrovascular disease. Methods 228 cases of patients with acute cerebral vascular disease were comprehensive analysised for the correlation incentive cause and clinical characteristics. Results 179 cases of patients had incentives at the onset of the disease and 49 cases of patients was no significant incentives in 288 cases of patients with acute cerebrovascular disease.The rate of patients with incentives in Ischemic cerebrovascular disease was 73.05% (122/167),which was higher than in hemorrhagic cerebrovascular disease 70.49% (43/61),the difference was statistically significant (P<0.05). Emotional factors,overwork and strength (defecate,cough,etc),and walking,activities and alcohol were the onset of relevant factors of acute cerebrovascular diseases. In the 179 cases of patients with cerebrovascular disease who incentives,the rate of the emotional factors was 35.2%,of the overwork impact was 16.20 %,of the walk activity was 24.58%,more drinking,trauma,cold also accounted for certain proportion. The rate of patients with all of these factors in Ischemic cerebrovascular disease was higher than in hemorrhagic cerebrovascular disease,the difference was statistically significant (P<0.05). Conclusion The result found that most patients have certain disease cause. Mood swings,force,activities ,etal were the main causes of acute cerebrovascular disease. The patients with primary cerebrovascular disease risk factors can cause the occurrence of acute cerebrovascular disease on the basis of incentives.%目的 探讨急性脑血管病发病的相关诱因.方法 综合分析228例急性脑血管病发病的相关诱因及其临床特点.结果 228例急性脑血管病中起病时有诱因者165例,无明显诱因者49例.缺血性脑血管疾病有诱因者占73.05％(122/167),高于出血性脑血管疾病的70.49％ (43/61),两者比较差异有统计学意义(P＜0.05).情绪因素、过度劳累、用力(排便、咳嗽等)、行走活动以及饮酒等均是急性脑血管疾病的发病相关因素.在179例起病时有诱因的脑血管病患者中,情绪因素影响占35.2％,过度劳累影响率为16.20％,行走活动占24.58％,其中如饮酒、外伤、寒冷等因素也占一定的比例.以上各相关因素在缺血性脑血管疾病中所占的比例高于出血性脑血管疾病,比较差异均有统计学意义(P＜0.05).结论 多数患者都有一定的发病诱因.情绪波动、用力、活动等因素为急性脑血管病的主要诱因.患者在原发脑血管病危险因素的基础上,在诱因的激发下,可诱发急性脑血管病.