It is well recognized that there are many kinds of diseases that are affected by meteorological factors. This study aims at investing the relation between the onset of cerebral infarction (CI) and climatic elements. D...It is well recognized that there are many kinds of diseases that are affected by meteorological factors. This study aims at investing the relation between the onset of cerebral infarction (CI) and climatic elements. Databases of medical emergency transfers in Nagoya during the winter seasons of 2002-2004 were reviewed. We applied a bi-directional self-organizing map (SOM), cluster analysis and decision tree to estimate the effects of climatic elements on the onset of CI. We classified climatic elements into three patterns, such as “rainy weather”, “west high and east low pressure” and “fair weather” by applying SOM. The risk of CI was estimated more clearly over each pattern. The meteorological variances are associated with the onset of CI. This fact was more accurately observed by classification of climatic patterns based on SOM. This study also suggests that effective warning is possible for the onset of CI, if we classify weather patterns.展开更多
目的探讨首发脑卒中患者复发恐惧的轨迹类别特征及影响因素。方法便利选取2018年5月至2021年5月收治的首发脑卒中患者,采用一般资料调查表、临床资料调查表、恐惧疾病进展简化量表(fear of progression questionnaire-short form,Fop-Q-...目的探讨首发脑卒中患者复发恐惧的轨迹类别特征及影响因素。方法便利选取2018年5月至2021年5月收治的首发脑卒中患者,采用一般资料调查表、临床资料调查表、恐惧疾病进展简化量表(fear of progression questionnaire-short form,Fop-Q-SF)对患者进行调查。结果共随访调查了110例患者,失访12例,最终纳入98例。潜在类别增长模型识别出3种复发恐惧轨迹,按照其特征命名为复发恐惧稳定组、复发恐惧下降组和复发恐惧升高组,分别为21例(21.4%)、52例(53.1%)和25例(25.5%)。单因素分析显示,年龄、家庭人均月收入、病情程度、吞咽功能、自理能力与患者复发恐惧轨迹类别有关(P<0.05);多因素Logsitic回归分析显示,年龄、病情程度、吞咽功能、自理能力可预测首发脑卒中患者复发恐惧的轨迹类别(P<0.05)。结论首发脑卒中患者复发恐惧呈现3种不同变化轨迹,年龄、病情程度、吞咽功能、自理能力可预测复发恐惧轨迹类别。展开更多
目的分析阿替普酶静脉溶栓治疗DWI-FLAIR不匹配指导发病时间不明的急性缺血性脑卒中的有效性及安全性。方法回顾性分析2021年3月—2023年6月广宁县人民医院收治的60例经影像学及临床症状检查确诊为急性缺血性脑卒中患者的临床资料,根据...目的分析阿替普酶静脉溶栓治疗DWI-FLAIR不匹配指导发病时间不明的急性缺血性脑卒中的有效性及安全性。方法回顾性分析2021年3月—2023年6月广宁县人民医院收治的60例经影像学及临床症状检查确诊为急性缺血性脑卒中患者的临床资料,根据发病时间是否明确将其分为发病时间不明组与发病时间明确组,每组30例。均选用重组组织型纤溶酶原激活剂阿替普酶(recombinant tissue plasminogen activator,rt-PA)进行静脉溶栓治疗。对比两组患者的临床疗效及溶栓后出血情况和预后效果。结果治疗前后两组患者的美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分比较,差异无统计学意义(P>0.05);两组治疗前后改良Rankin评分(Modified Rankin Scale,MRS)比较,差异无统计学意义(P>0.05);两组溶栓后不良事件发生率分别为6.67%和10.00%,差异无统计学意义(χ^(2)=0.000,P>0.05)。结论rt-PA溶栓治疗发病时间不明的急性缺血性脑卒患者中同治疗发病时间明确的患者效果相似。展开更多
文摘It is well recognized that there are many kinds of diseases that are affected by meteorological factors. This study aims at investing the relation between the onset of cerebral infarction (CI) and climatic elements. Databases of medical emergency transfers in Nagoya during the winter seasons of 2002-2004 were reviewed. We applied a bi-directional self-organizing map (SOM), cluster analysis and decision tree to estimate the effects of climatic elements on the onset of CI. We classified climatic elements into three patterns, such as “rainy weather”, “west high and east low pressure” and “fair weather” by applying SOM. The risk of CI was estimated more clearly over each pattern. The meteorological variances are associated with the onset of CI. This fact was more accurately observed by classification of climatic patterns based on SOM. This study also suggests that effective warning is possible for the onset of CI, if we classify weather patterns.
文摘目的探讨首发脑卒中患者复发恐惧的轨迹类别特征及影响因素。方法便利选取2018年5月至2021年5月收治的首发脑卒中患者,采用一般资料调查表、临床资料调查表、恐惧疾病进展简化量表(fear of progression questionnaire-short form,Fop-Q-SF)对患者进行调查。结果共随访调查了110例患者,失访12例,最终纳入98例。潜在类别增长模型识别出3种复发恐惧轨迹,按照其特征命名为复发恐惧稳定组、复发恐惧下降组和复发恐惧升高组,分别为21例(21.4%)、52例(53.1%)和25例(25.5%)。单因素分析显示,年龄、家庭人均月收入、病情程度、吞咽功能、自理能力与患者复发恐惧轨迹类别有关(P<0.05);多因素Logsitic回归分析显示,年龄、病情程度、吞咽功能、自理能力可预测首发脑卒中患者复发恐惧的轨迹类别(P<0.05)。结论首发脑卒中患者复发恐惧呈现3种不同变化轨迹,年龄、病情程度、吞咽功能、自理能力可预测复发恐惧轨迹类别。
文摘目的分析阿替普酶静脉溶栓治疗DWI-FLAIR不匹配指导发病时间不明的急性缺血性脑卒中的有效性及安全性。方法回顾性分析2021年3月—2023年6月广宁县人民医院收治的60例经影像学及临床症状检查确诊为急性缺血性脑卒中患者的临床资料,根据发病时间是否明确将其分为发病时间不明组与发病时间明确组,每组30例。均选用重组组织型纤溶酶原激活剂阿替普酶(recombinant tissue plasminogen activator,rt-PA)进行静脉溶栓治疗。对比两组患者的临床疗效及溶栓后出血情况和预后效果。结果治疗前后两组患者的美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)评分比较,差异无统计学意义(P>0.05);两组治疗前后改良Rankin评分(Modified Rankin Scale,MRS)比较,差异无统计学意义(P>0.05);两组溶栓后不良事件发生率分别为6.67%和10.00%,差异无统计学意义(χ^(2)=0.000,P>0.05)。结论rt-PA溶栓治疗发病时间不明的急性缺血性脑卒患者中同治疗发病时间明确的患者效果相似。
