海阳市医院住院患者脑血管病发病特点及诱因分析

Primary analysis of hospitalized CVD patients in Haiyang People's Hospital

目的调查地处沿海低海拔地区的山东省海阳市2005年某医院神经内科住院患者脑血管病(CVD)发病特点及其与多种影响因素的关系。方法分析各种类型脑血病患者的发病与其年龄、居住地地理位置、从事职业、高危因素、病灶部位、不良生活习性及居住地居住时间的关系。病案资料来源于当地具有代表性的三级医疗网中的二级甲等医院。结果2005年各种疾病总住院人数1026例,其中CVD 522例(50．88％),非CVD 504例(49．12％)。CVD与非CVD之间在年龄、居住地地理位置方面差异有统计学意义(P<0．01),但性别差异无统计学意义(P>0．05)。各类型CVD之间在不同因素组别的差异较大,但在出血与缺血性CVD之间,除了性别和居住时间外,其他各项因素均存在显著性差异。结论山东沿海低海拔农村地区CVD发病,因其地理和人文等差异具有一定的地方特点,其更广泛的代表性尚需更大样本的大规模流行病学调查证实。

Objective To investigate the situation of various hospitalized CVD patients at low altitude rural littoral Shandong. Methods Information of patient＇s age, geographic locations ＆ resident length, occupation, high risk factors, lesion locations and unhealthy habits were analyzed in various types of hospitalized CVD patients in the Dept. of neurology of a local municipal hospital. Results Information of 522 CVD patients （50.88%） were collected from a total of 1026 admitted patients in 2005. Significant differences existed in aspects of age,and geographic locations between CVD and non-CVD patients （P 〈 0.01）, but no difference in gender （ P 〉 0.05）. Conclusions It is suggested that the unique prevalence of various CVD at low altitude rural littoral in Shandong is relative to the local geography and cultural tradition, and further investigations on larger samples and areas are necessary.