某三级医院219例脑卒中患者的临床分析

Nayeem Anwar, M. R. K. Khan, Nawreen Binte Anwar, S. Nahar, M. Shahidullah
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引用次数: 0

摘要

背景:脑卒中是一种严重的病理,对功能和生命预后有很大的影响。它是世界范围内导致死亡的主要原因。研究的目的是观察脑卒中患者的临床特征和重要的危险因素。方法:采用横断面描述性研究方法,于2014年8月至2015年11月在达卡Shahbag的BangabandhuSheikh Mujib医科大学(BSMMU)神经内科进行。所有在上述科室就诊、年龄在18岁以上、符合所有纳入和排除标准并经脑部CT/MRI扫描确认的患者均纳入本研究。结果:共纳入219例患者。61 ~ 70岁患者最多93例(42.5%),51 ~ 60岁51例(23.3%),71 ~ 80岁30例(13.7%)。男性138例(63%)高于女性81例(63%)。双侧乏力78例(35.61%),左侧乏力66例(30.1%),右侧乏力36例(16.4%)。缺血性卒中190例(87.7),出血性卒中29例(12.3%)。危险因素中,血脂异常185例(84.5%),高血压165例(75.3%),吸烟120例(54.8%),糖尿病105例(47.9%),缺血性心脏病42例(19.2%)。55例(25%)出现H/O复发性卒中。结论:卒中患者以男性为主,以血脂异常为最常见的危险因素,卒中类型以缺血性为主,以偏瘫/单瘫为主,发病年龄以70岁为主。孟加拉国神经科学杂志2016;Vol. 32 (1): 16-20
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical Profile of Stroke Patients Attended in a Tertiary Care Hospital- Study of 219 cases
Background: Stroke is serious pathology with a immense impact on the functional and vital prognosis. It is the leading cause of death worldwide. The objective of the study was to observe clinical profile of stroke patients and important risk factors. Methods: It was a cross-sectional descriptive study conducted in the department of Neurology, BangabandhuSheikh Mujib Medical Universiy(BSMMU), Shahbag, Dhaka from August 2014 to November2015. All patients above 18 years of age and both sexes attending the above mentioned department meeting all inclusion and exclusion criterias and confirmed CT/MRI scan of Brain were included in this study. Results: A total of 219 patients were studied. Maximum 93(42.5%) patients were in age group of 61-70 years followed by 51(23.3%) and 30(13.7%), in the age group of 51-60 years and 71-80 years respectively. Male 138(63%) were predominant than female 81(63%). 78(35.61%) patients had weakness in both sides of the body, 66(30.1%) had weakness in the left side and 36(16.4%) had weakness in the right side of the body. 190 (87.7) patients had ischemic stroke and 29(12.3%) had hemorrhagic stroke. Among risk factors dyslipidemia was in 185(84.5%) patients, hypertension, smoking habits, diabetes mellitus and ischemic heart disease were present in 165(75.3%), 120(54.8%), 105(47.9%) and 42 (19.2%) patients respectively. H/O recurrent stroke was present in 55(25%) cases. Conclusion: Stroke cases were male predominant where dyslipidaemia was the most common risk factor, most common type of stroke was ischemic, most common presentation was hemiplegia/monoplegia and commonest age of presentation was seventh decade. Bangladesh Journal of Neuroscience 2016; Vol. 32 (1): 16-20
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