| Objective In accordance with data registration and analysis of epidemiology, risk factors,mechanism,subtype and outcomes of stroke patients in hospital stroke unit,to learn clinical characteristics,risk factors,etiology,pathogenesis and types of stroke for standardizing and strengthening diagnosis and treatment of acute cerebrovascular diseases and reducing mortality and disability rate as well as improving quality of life of patients and their families.Methods 748 stroke patients within 14 days course in stroke unit were collected from December 2007 to January 2009 in this study.Based on registration of hospitalization,data of patients were encoded with computer database system.All patients were diagnosed by CT or MRI.Demographic characteristics,risk factors, duration from onset to attendance,stroke types,hospitalization duration,complication incidence and mortality in hospitalization,drug treatment,and discharge condition were analyzed.According to sex,the patients were divided into two groups and compared characteristics of stroke in both groups.Furthermore,clinical characteristics of cerebral infarction patients accompanied by diabetes were discussed.Results Of 748 stroke patients,585 were cerebral infarction patients in stroke unit(78.21%),98 with hemorrhagic stroke(13.10%),65 with transient ischemic attack (8.69%).Male,457 cases(61.10%);female,291 cases(38.90%).The age is 65.95 11.90.Only 4.01%patients attended hospital within 2 hours after onset,the attending delay was very common.Among the risk factors of stroke,the first was hypertension(71.39%).23.93%with hypertension and smoking and drinking.According to cerebral infarction types OCSP in patients,LACI was the major type.Given cerebral infarction types TOAST in patients,LAA was the major type(43.59%).OCSP types for acute stages partially indicate causes.Among patients with cerebral infarction,the frequent predilection site were basal ganglia(42.23%),among patients with intraparenchymal hemorrhage,66.67%lied in basal ganglia and thalamus.Of all the patients,36.36%took conventional vascular examination.Skull MRA test was the major approach for the patients,the rate was up to 15.51%.The highest complication rate was urinary tract infection 36.50%.The treatment of acute stroke was effective in stroke unit.Among the deaths,71.43%directly caused by stroke,28.57%indirectly caused by stroke.Higher administration of drugs for discharged patients than pre-hospitalization was observed.During the first 3 months in follow up,mortality was 4.31%.In the deaths,66.67%had direct relation with stroke,33.33%had indirect relation.There was difference of medical resource application between male and female.Female patients had worse neurologic dysfunction than male.Poorer efficacy for female and higher incidence of complication were observed in hospitalization. Compared with cerebral infarction patients without diabetes,the patients complicated with diabetes,had more risk factors.Severe neurologic dysfunction,multiple lesions and massive cerebral infarction incidence were observed in cerebral infarction patients with diabetes.Conclusion There is consistence of demographic characteristics between our study and present reports in other countries.Compared with hemorrhagic stroke, ischemic stroke was more frequently observed,basal ganglia and thalamus were the common sites for both stroke.The study revealed that the public have poor recognition on identification and medical aid,the imperfect first-aid system.Among the all risk factors,hypertension topped No 1.A majority of patients possessed two or more than risk factors,the multiple risk promote the progression of pathogenesis of stroke.In cerebral infarction patients with OCSP,LACI listed top one of all types.In TOAST,SAO followed LAA.OCSP types for acute stages partially indicate causes and should be beneficial for clinical treatments.The etiology and mechanism as well as Differentiation and diagnosis need further studies.Due to imperfect primary and secondary prevention system,public education should be strengthening.In comparison with male,female patients share distinctive characteristics of onset, medical aid,clinical diagnosis and treatment as well as prognosis.For cerebral infarction patients with diabetes,there were more risk factors.Besides,the incidences of multiple lesion,massive cerebral infarction,depression,neurologic dysfunction and mortality were higher than the patients without diabetes. |
