绝经后脑梗死患者临床特征、危险因素与治疗的回顾性研究

A Retrospective Study of Clinical Features, Risk Factors and Treatment in Patients with Postmenopausal Cerebral Infarction

目的通过对2014年1月—2019年1月在湖南省某三甲中医医院内科病房住院的绝经后脑梗死患者的临床特征、危险因素与治疗情况进行分析,为其的预防及治疗提供理论与现实依据。方法采用回顾性调查分析的方法对患者的临床特征、危险因素与治疗情况,运用SPSS 25.0统计软件进行分析。结果绝经后脑梗死住院患者入院证型由高到低依次为实证、虚实夹杂、虚证。前驱症状依次为肢体乏力、头晕、头痛、偏身麻木、精神症状改变,临床表现依次为睡眠质量差、眩晕或头晕、全身乏力、头痛、疲劳。危险因素依次为高血压病、高血脂、糖尿病、脑动脉硬化,治疗总有效率为99%。结论可针对绝经后脑梗死患者的中医证型、临床表现、前驱症状、危险因素以及治疗方法等针对性的早期预防,以降低其发病率、残疾率以及病死率。

Objective To analyze the clinical features,risk factors and treatment of postmenopausal cerebral infarction patients who were hospitalized in the internal medicine ward of a level A traditional Chinese medicine hospital in Hunan Province from January 2014 to January 2019 to provide a theory for their prevention and treatment and reality basis.Methods The clinical characteristics,risk factors and treatment status of the patients were analyzed by retrospective investigation and analysis using SPSS 25.0 statistical software.Results The types of admission syndromes of postmenopausal patients with cerebral infarction in a descending order were excess syndrome,mixed with deficiency and excess syndrome and deficiency syndrome.The prodromal symptoms were weakness,dizziness,headache,numbnes and changes in mental symptoms.The clinical manifestations were poor sleep quality,dizziness,general weakness,headache and fatigue.The risk factors were hypertension,hyperlipidemia,diabetes and cerebral arteriosclerosis,and the total effective rate of treatment was 99%.Conclusion Targeted early prevention of TCM syndromes,clinical manifestations,prodromal symptoms,risk factors and treatment methods of postmenopausal cerebral infarction patients can be used to reduce the morbidity,mortality,disability and mortality.