新疆维吾尔族和汉族急性脑卒中患者临床特点分析

Clinical characteristics of patients with acute stroke between Uygur and Han ethnics in Xinjiang

目的探讨新疆维吾尔族、汉族急性脑卒中患者临床特点的差异性。方法收集新疆地区急性脑卒中患者401例,维吾尔族患者147例,汉族患者254例,比较两组患者一般临床特征、卒中类型及治疗前、治疗后的神经功能缺损评分(NIHSS)的变化。同时两组患者均给予相同治疗和健康教育。结果维吾尔族患者就诊时收缩压、舒张压水平均高于汉族,两组差异有统计学意义(P<0.05);汉族患者脑梗死构成比为84.25%、维吾尔族族患者为72.79%,两组差异有统计学意义(P=0.006);汉族患者脑出血构成比14.57%、维吾尔族族患者24.49%,两组差异有统计学意义(P=0.0013);汉族患者蛛网膜下腔出血构成比1.18%、维吾尔族族患者2.17%,两组差异无统计学意义(P=0.257);维、汉两民族患者在治疗后NIHSS均有降低。结论新疆维吾尔族、汉族急性脑卒中患者临床特点有差异性,主要表现为维吾尔族患者入院时血压较高、出血型卒中所占比重大,汉族患者以脑梗死为主。两组患者治疗后病情均得到改善。

Objective To explore the difference of clinical characteristics of patients with acute stroke between Uygur and Han populations in Xinjiang. Methods A total of 401 patients with acute stroke in Xinjiang , including 147 Uygur patients and 254 Han patients were studied, comparing with difference of clinical characteristics , the subtype of stroke, and the score of neurologic impairment （ NIHSS ） of two groups. Both groups were given the same treatment and the health education. Results In the group of Uygur , the level of systolic blood pressure and diastolic blood pressure were higher than Han ethnic when the patients were admitted, There was statistical significant difference between two groups （P 〈 0. 05 With the constituent ratio of ischemic cerebral stroke , the group of Han was 84. 25% and the group of Uygur was 72. 79% , There was statistical significant difference between two groups （ P = 0. 006 ） ; . Withthe constituent ratio of cerebral hemorrhage , the group of Han was 14. 57% and the group of Uygur was 24. 49%, There was statistical significant difference between two groups （P = 0. 0013 ） ; With the constituent ratio of subarachnoid hemorrhage , the group of Han was 1. 18% and the group of Uygnr was 2. 17%, There wast statistical difference between two groups （ P = 0. 257 ） ; There was also decreased of NIHSS among two groups after treatment. Conclusions There was difference of clinical characteristics of patients with acute stroke between Uygur and Han ethnic in Xinjiang ; In the group of Uygur , the level of blood pressure was higher when they came to hospital and the constituent ratio of cerebral hemorrhage was higher than the group of Han . The most Han patients was ischemic stroke. Both of groups with NIHSS were better after treatment.