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目的调查地处沿海低海拔地区的山东省海阳市2005年某医院神经内科住院患者脑血管病(CVD)发病特点及其与多种影响因素的关系。方法分析各种类型脑血病患者的发病与其年龄、居住地地理位置、从事职业、高危因素、病灶部位、不良生活习性及居住地居住时间的关系。病案资料来源于当地具有代表性的三级医疗网中的二级甲等医院。结果2005年各种疾病总住院人数1026例,其中CVD 522例(50．88％),非CVD 504例(49．12％)。CVD与非CVD之间在年龄、居住地地理位置方面差异有统计学意义(P<0．01),但性别差异无统计学意义(P>0．05)。各类型CVD之间在不同因素组别的差异较大,但在出血与缺血性CVD之间,除了性别和居住时间外,其他各项因素均存在显著性差异。结论山东沿海低海拔农村地区CVD发病,因其地理和人文等差异具有一定的地方特点,其更广泛的代表性尚需更大样本的大规模流行病学调查证实。
Objective To investigate the incidence of cerebrovascular disease (CVD) in hospitalized patients in neurology department of a hospital located in Haiyang City, Shandong Province, at a low altitude of the coastal area in 2005 and its relationship with various influencing factors. Methods To analyze the relationship between the incidence of various types of patients with cerebrovascular disease and their age, geographical location of residence, occupation, risk factors, lesion location, bad habits and residence time. The medical record data come from the Grade A first-class hospital in the local representative tertiary medical network. Results The total number of hospitalizations for various diseases in 2005 was 1026, of which 522 were CVD (50.88%) and 504 (49.12%) were non-CVD. CVD and non-CVD between the age and geographical location of residence was statistically significant (P <0.01), but the gender difference was not statistically significant (P> 0.05). There are significant differences between different types of CVD in different groups of patients, but there are significant differences between bleeding and ischemic CVD except sex and residence time. Conclusion The incidence of CVD in rural areas of low altitude in Shandong coastal areas has certain local characteristics because of its geographical and cultural differences. Its broader representation still needs to be confirmed by large-scale epidemiological investigation of larger samples.