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目的 调查麻将游戏与脑卒中发病的关系。方法 回顾性研究自1997～2000共5年间在我院住院的879例急性脑卒中患者。分为2组,即出血性脑卒中组与缺血性脑卒中组。前者共445例,有高血压病史占58.2％;后者434例,有高血压病史者占60.6％。调查2组的麻将游戏诱发脑卒中所占的比例,并做卡方检验。结果 879例脑卒中患者中共51为打麻将中或打麻将结束30分钟内发病,占5.8％。其中在出血性脑卒中组为8.8％,在缺血性脑卒中组为2.8％,2组间存在高度显著性差异。在出血性脑卒中组中39例为打麻将发病,其中29例有高血压病史,占74.4％,显著高于同组的高血压病史比例(58.2％);而在缺血性脑卒中组12例卒中因玩麻将发病,其中7例有高血压病史,与同组的高血压病史比例(60.6％)无显著差异。结论 玩麻将作为直接的可能诱因,容易使高血压的患者患出血性脑卒中。
Objective To investigate the relationship between mahjong game and stroke. Methods A retrospective study of 879 acute stroke patients hospitalized in our hospital from 1997 to 2000 was conducted. Divided into two groups, namely hemorrhagic stroke group and ischemic stroke group. The former a total of 445 cases, 58.2% had a history of hypertension; the latter 434 cases, history of hypertension accounted for 60.6%. Mahjong game-induced stroke-induced proportions in both groups were investigated and chi-square test was performed. Results Among 879 stroke patients, 51 were mahjong players or mahjong players, accounting for 5.8% of the patients within 30 minutes. Among them, 8.8% in hemorrhagic stroke group and 2.8% in ischemic stroke group, there was highly significant difference between the two groups. In hemorrhagic stroke group, 39 cases were mahjong, of which 29 cases had history of hypertension, accounting for 74.4%, which was significantly higher than that of the same group (58.2%). In ischemic stroke group 12 Cases of stroke due to playing mahjong onset, of which 7 cases had a history of hypertension, with the same group history of hypertension (60.6%) no significant difference. Conclusion Play mahjong as a direct possible incentive for hypertensive patients prone to hemorrhagic stroke.