Retrospective Analysis Of Clinical Data Of Patients With Acute Cerebral Infarction (ACI) In An A Level Hospital Of Shenyang Between 2013 And 2014

Acute cerebral infarction, also known as acute ischemic stroke is a nerve syndrome characterized by brain ischemia, hypoxia and nerve cell degeneration and necrosis due to local brain blood flow interruption or reduction in brain tissue caused by the main artery or branch artery stenosis occurs, thrombosis or occlusion and is the most common type of cerebral vascular disease. It is important for these patients that Early, rapid and accurate diagnosis of acute cerebral infarction, take appropriate treatment programs, and achieved good prognosis. ObjectiveIn order to identify the inherent regularity, understand of the pathogenesis of acute cerebral infarction prevention and treatment and provide a scientific basis to improve the treatment rate and reduce mortality Analysis of demographic characteristics, clinical features and prognosis of patients with acute cerebral infarction in a Shenyang hospital stay between 2013- 2014. MethodA retrospective description and analysis of general, treatment time, infarct location, clinical manifestations, laboratory data and prognosis of 301 cases of acute cerebral infarction patients from January of 2013 to December of2014 in a tertiary level hospital of Shenyang City, Result1. In 301 cases, aged 60 years old is mostly. men slightly more than women, the majority of patients in the marriage, the clinic is the main route,urban basic medical most insurance, the survey showed 69.4%of people have the habit of smoking and 37.2% of people have drinking habits. Most patients with a body mass index in the normal range, patients with hypertension and diabetes are more, accounted for 92% and 65.4%, respectively, fewer patients with coronary heart disease, accounting for only 31.9%. In the survey, many patients with dyslipidemia, accounting for 72.1%,patients with hyperuricemia and hyperfibrinogenemia are rare.2. The first symptom of ACI patients are limb disorders, vertigo and facial paralysis most and language disorders, disturbance of consciousness, sensory disturbances, visual field defects are less.the lesion is located in the basal ganglia, accounting for 41.6% in the most of cases surveyed, followed by brainstem, accounting for 25.9%. patients admitted treatment within six hours are only 24.3%. 47.2% of patients with elevated triglycerides, low density lipoprotein of 83.7% patients increased, 55.8% of patients with type cysteine high value, 68.1% of patients with high fasting glucose. Seasonal effects on the incidence of statistics: the highest number of cases of the spring, 44.5%, followed by summer, accounting for 27.2%. From the month of admission, the number of patients admitted to hospital in March began to increased significantly, peaked in May and then decline.3. The detection of different demographic characteristics related diseases survey analysis shows that hypertension, coronary heart disease, dyslipidemia, hyperuricemia are more male patients, in patients with hypertension or diabetes a higher incidence of people is over 60 year old.; patients with hypertension or hyperuricemia, more i with smoking habits, and patients with coronary heart disease, dyslipidemia, hyperuricemia are more with a drinking habit(P <0.05 or 0.01).4. admission NIHSS score of different demographic characteristics of the survey analysis shows that men, smoking or drinking habits of patients and patients with hypertension, coronary heart disease, diabetes, dyslipidemia, hyperuricemia, hyperfibrinogenemia disorders of respondents admission NIHSS score higher(P <0.05 or 0.01), in patients with different onset to treatment time period of admission NIHSS scores showed significant differences(P <0.01).5. hospitalized different demographic characteristics of respondents and discharge NIHSS score of the analysis showed that men, investigator with smoking or drinking habits, patients with hypertension, diabetes, hyperuricemia, hyperfibrinogenemia a admission and discharge NIHSS score difference are the higher(P <0.05 or 0.01), different lesion sites surveyed admission and discharge NIHSS score of the difference has significant difference(P <0.05). Conclusion:1. acute cerebral infarction patients are majority over the age of 60, more have smoking and other bad habits, often associated with hypertension and diabetes, and accompanied by dyslipidemia.2. acute cerebral infarction occurred in spring and summer, May peak incidence, patients with multiple limb disorders, vertigo and facial paralysis,basal ganglia lesion bit more, fewer patients with early treatment. High index of triglycerides, low-density lipoprotein, homocysteine, fasting blood sugar.3. male, age, smoking and drinking patients with acute cerebral infarction often have multiple comorbidities4. Male, smoking, drinking, with omplication patients with acute cerebral infarction have more serious clinical symptoms, but the symptoms are more obvious recovery after treatment.