1298例自发性脑出血流行病学与临床特点分析

Etiology and Clinical Characteristics of 1298 Patients with Spontaneous Intracerebral Hemorrhage

目的探讨自发性脑出血患者的流行病学与临床特点。方法对安徽省立医院神经内科2005～2009年收治的1298例自发性脑出血患者的临床资料进行回顾性调查,分析其流行病学与临床特点。结果 1298例脑出血患者中,男822例(63.33%),女476例(36.67%),男女患者构成比差异显著;每年冬、春季是该病的高发季节;自发性脑出血的原因以高血压病最为常见,约占65.87%;出血部位以基底节区(895例,68.95%)为最多见。结论自发性脑出血的发病与年龄、季节及高血压等多种因素有关,有效的预防措施和积极控制血压至关重要。

Objective To investigate the etiological and clinical characteristics of 1298 cases with spontaneous intracerebral hemorrhage.Methods A retrospective analysis was conducted to investigate the epidemiology and clini-cal characteristics of 1298 patients who su ered from spontaneous intracerebral hemorrhage and were hospitalized in Neurology Dept.of Anhui Provincial Hospital from 2005 to 2009.Results Among 1298 patients,822（63.33%） were male while 476（36.67%） were female.The constituent ratio of male and female patients was signi cantly di erent;the patients mainly su ered from spontaneous intracerebral hemorrhage in winter and spring which was commonly caused by hypertension accounting for 65.87% and was mostly happened on basal ganglia site（n=895,68.95%）.Conclusions The incidence of spontaneous cerebral hemorrhage is related with age,season and hypertension,it is very important to be pre-vented e ectively and to well control the blood pressure.