摘要
目的探讨广州市季节因素与高血压脑出血发病之间的关系。方法收集广州市南方医院高血压脑出血425例临床资料,对其在不同季节的发病情况及其与血压之间的关系进行分析。结果本组春季发病105例(24.71%),夏季90例(21.18%),秋季115例(27.06%),冬季115例(27.06%),秋、冬季发病人数多于其他季节,四季发病人数经非参数检验差异无统计学意义(P=0.779);秋季收缩压及舒张压,分别为(165.98±34.81)mm Hg、(96.20±18.97)mm Hg,均为最高;春季收缩压(155.72±28.64)mm Hg,冬季舒张压(91.04±19.41)mm Hg均为最低;经单向方差分析及其事后最小显著差数法(LSD法)分析,收缩压秋季与春季、秋季与冬季比较差异有统计学意义(P=0.015、P=0.022),舒张压秋季与冬季比较差异有统计学意义(P=0.037)。结论季节因素对高血压脑出血的发病具有一定影响作用,在脑出血的预防工作中应充分考虑其发病的季节特点。
Objective To study the relationship between seasonal factors and hypertensive intracerebral hemorrhage（HICH） in Guangzhou. Methods The general profiles of 425 patients with HICH admitted to Nanfang Hospital,Guangzhou were collected. The difference of HICH＇s incidence in the four seasons and the relationship between blood pressures and different seasons were analyzed. Results In all 425 cases with HICH, there Were 105 （24.71%） cases in spring,90 （21.18%） cases in summer,115 （27.06%） cases in autumn and 115 （27.06%） cases in winter. There were no significant difference among the incidences of HICH in different seasons（ P = 0. 779）. Systolic blood pressure（SBP） and diastolic blood pressure（DBP） were the highest in autumn,SBP （165.98±34.81） mm Hg, DBP（96.20±18.97） mm Hg. SBP was the lowest in spring （155.72±28.64） mm Hg and DSP was the lowest in winter（91.04±19.41） mm Hg. SBP was significantly different between autumn and spring, autumn and winter（ P = 0. 015, P = 0. 022）. As for DBP, there was significant difference between autumn and winter（ P = 0. 037）. Conclusion The incidence of HICH showed seasonal rhythm in Guangzhou urban and it was influenced by seasonal factors. Sufficient consideration of seasonal factors should be taken to better prevent hypertensive intracerebral hemorrhage.
出处
《临床荟萃》
CAS
北大核心
2007年第20期1448-1451,共4页
Clinical Focus
基金
国家自然科学基金青年科学基金(编号:30400612)
关键词
颅内出血
高血压
季节
血压
hypertensive intracerebral hemorrhage
seasonal factors
blood pressure
