Hunan Changde Area Analysis Related Factors In Patients With Cerebral Apoplexy In Hospital

Objective:By Changde (Changde City, Taoyuan County, Linli County)11districts and counties of seventeen hospitals from January2011to December2011met the standards of hospitalized patients with stroke-related information to register, and to stroke the epidemiology, etiology, pathogenesis, risk factors, clinical treatment and prognosis to provide important information, so as to changde area would provide reference for clinical prevention and treatment of cerebral apoplexy, reduce death and disability, improve patients quality of life and families.Methods:This study collected from January2011to December2011,5338cases of hospitalized stroke patients from17hospitals in Changde, the basic information, medical information, past medical history, auxiliary examination, treatment information, etc. To register as a prospective. Mainly analyzed the patient demographic information, pre-hospital transfer information, risk factors, types of stroke, treatment information, etc.Results:The collected5338cases of patients with acute cerebral apoplexy,3143cases of male patients (58.8%), female patients,2193cases (41.1%). Age was66.30±11.17.3219patients with cerebral infarction and accounted for60.3%; Cerebral hemorrhage in1370cases, accounting for25.7%. Literacy in primary school and below in the majority of patients (70.2%). Aware of knowledge about stroke was65.4%.120emergency hospital way was38.2%, the taxi was41.5%, private car was15.4%, other4.9%. Only26.1%of the patients in the2hours to arrive at the hospital. In the common risk factor for stroke, higher rate of hypertension was70.5%,quite a number of patients with merger of two or more risk factors. The ratio of cerebral infarction and cerebral hemorrhage was2.35:1. OCSP classification of cerebral infarction, lacunar infarction (LACI) was one of the most common type, the proportion of33.2%. Cerebral infarction and cerebral hemorrhage the most common lesions are thalamus in basal ganglia region. Hospitalization complications for the highest percentage of for biochemical metabolic abnormalities was31.2%. Hospitalization in drug treatment, had the highest percentage of antiplatelet drug applications, up to79.95%. The hospital stay was13.7±9.517days.Conclusion:1.In this study, the proportion of rural patients was higher than the cities in changde, the proportion of the patients were male and female patients2. Changde district public and family members of stroke identification ability was low, the emergency consciousness difference, should strengthen the education of stroke, and government departments should increase investment in related at the same time, perfect the emergency system, in order to reduce prehospital delays.3. In a risk factor for stroke, higher rate of major were hypertension, hyperlipidemia, and diabetes.4. Higher incidence of complications during hospitalization were pulmonary infection, urinary tract infection, gastrointestinal bleeding.