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贵州地区不同性别脑出血患者发病因素与气象条件的关系

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目的 探讨贵州地区不同性别脑出血(ICH)患者发病与气象因素的关系.方法 选取2020年ICH患者347例,按性别分组(n男=230,n女=117),收集2组患者的一般临床资料(年龄、血压、入院时意识状态、吸烟史、饮酒史、体质量指数和脑卒中史等)及实验室指标(常规、电解质、血糖及血脂),并收集同期当地气象资料(气温、气压、降雨量、日照时数、相对湿度),比较不同性别ICH患者发病与各气象因素的关系.结果 男性患者吸烟和饮酒比例均高于女性(P<0.05),但血小板计数、总胆固醇、高密度脂蛋白胆固醇或者低密度脂蛋白胆固醇水平均低于女性(P<0.05);ICH患者发病比例在日平均气温、日最低气温、日平均大气压、日平均相对湿度或月平均降雨量不同区间段存在明显差异(P<0.001),男性患者在日平均气温6~26℃和日最低气温2~21 ℃时的发病比例最高,女性患者在日平均气温11~16 ℃和日最低气温2~21 ℃时发病比例最高;男性患者不同季节发病比例存在差异(P<0.05),以秋季占比最高.结论 气温、气压、相对湿度或者降雨量等气象因素对贵州地区ICH患者发病率有影响,对男性患者发病影响更为明显.
Relationship between etiological factors and meteorological conditions of patients with intracerebral hemorrhage of different gender in Guizhou area
Objective To investigate the relationship between etiological factors and meteorological conditions in patients with intracerebral hemorrhage(ICH)of different gender in Guizhou area.Methods A total of 347 patients with ICH in 2020 were selected as the study subjects and divided into male group(nmale=230)and female group(nfemale=117)according to gender.The general clinical data(including age,blood pressure,state of consciousness at admission,smoking history,drinking history,body mass index and stroke history,etc),laboratory parameters(including blood routine,electrolytes,blood glucose and blood lipids),and the meteorological data of Guizhou Meteorological Bureau during the same period(including temperature,air pressure,rainfall,sunshine duration,relative humidity)were collected from the two groups.The levels of indicators were compared between the above two groups.Results The proportion of smoking and drinking in male group was higher than that in female group(P<0.05),while the platelet count,total cholesterol,high-density lipoprotein cholesterol or low-density lipoprotein cholesterol levels of females were significantly lower than that of males(P<0.05).The incidence rate of ICH was significantly different in various intervals of daily mean temperature,daily minimum temperature,daily mean atmospheric pressure,daily mean relative humidity or monthly mean rainfall(P<0.001).Compared with female group,males had the highest incidence ratio in daily mean temperature(6-26 ℃)and daily minimum temperature(2-21 ℃)temperature intervals,while females had the highest incidence ratio in daily mean temperature(11-16 ℃)and daily minimum temperature(2-21 ℃)intervals.Females could tolerate lower temperature more than males.There was a difference in the proportion of male cases in different seasons(P<0.05),with autumn accounting for the highest proportion.Conclusions The incidence of ICH in Guizhou area is susceptible to fluctuations in temperature,air pressure,relative humidity,or rainfall,especially of males.

cerebral hemorrhageblood plateletscholesterolsmokingGuizhoumeteorological factorsgender

王琳、马万宇、任思颖、莫仕灯、汤宁、王丽琨、伍国锋

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贵州医科大学附属医院急诊科,贵州贵阳 550004

贵州医科大学临床医学院,贵州贵阳 550004

贵州省气象信息中心信息档案科,贵州贵阳 550002

脑出血 血小板 胆固醇 吸烟 贵州 气象因素 性别

国家自然科学基金

82360253

2024

贵州医科大学学报
贵阳医学院

贵州医科大学学报

CSTPCD
影响因子:0.827
ISSN:2096-8388
年,卷(期):2024.49(6)