对207例酒精所致脑卒中患者临床资料的分析

Clinical analysis of 207 cases of cerebral stroke reduced by alcohol

目的:分析207例酒精所致脑卒中患者的临床资料,探讨酒精中毒与脑卒中发病之间的关联性。方法:将207例因饮酒导致脑卒中的患者作为研究对象,对其临床症状进行分析。结果:在本研究中,有42例患者发生出血性脑卒中,占20.29%(42/207);有165例患者发生缺血性脑卒中,占79.71%(165/207)。在本组患者中,有93.24%(193/207)的患者有十年以上的饮酒史,有71.01%(147/207)的患者有20年以上的饮酒史,有14例患者的饮酒史为5-10年,所有患者在发病前均有不同程度的酒精中毒症状,有55.07%(114/207)的患者有经常醉酒史。在本组患者中,有30.92%(64/207)的患者在长期饮酒且发生慢性酒精中毒的基础上突然在一次醉酒后发生脑卒中(或在醉酒后24个小时内发病),其发病比由高血压诱发的脑卒中更迅速。结论:酒精中毒可影响人体内血脂、血压的水平、脑组织的血流量、红细胞及血小板的功能,进而增加其发生脑卒中的几率。避免酗酒是预防脑卒中的重要措施之一。

Objective To study and analyze the clinical symptoms of patients with cerebral stroke reduced by alcohol. Methods A retrospective analysis of 207 cases of chronic alcohol consumption in patients with cerebral stroke which were identified as cerebral stroke by the imaging and a clinical analysis on the symptoms were made. Result A large number of long-term drinkers have blood pressure, elevated blood lipids, red blood cell, platelet abnormality and local cerebral bloodflow reduction, which easily lead to cerebral stroke. These kinds of cerebral stroke are more ischemic and rare hemorrhagic. Conclusion Long term drinking is a risk factor of cerebral stroke it and is worth to attention.