气象环境因素与脑卒中发病的相关性研究.PDFVIP

综述 学信息2019 年8 月第32 卷第16 期 Medical Information Aug. 2019 Vol. 32 No.16 象环境因素与脑卒中发病的相关性研究 陈念 王春茹 渊天津市宁河区医院神经内科 天津 301500冤 摘要 脑卒中是发病率高尧致残率高尧致死率高以及复发率高的脑血管疾病 其主要病因有脑小动脉硬化尧脑动脉粥样硬化尧血管 先天发育异常等 常见的危险因素有高血压尧糖尿病尧高脂血症尧心脏病尧吸烟等遥 有研究发现 脑卒中的发病与气象尧空气污染 存在关联性 异常天气是脑卒中的危险因素之一遥 本文对气象因素中气温尧气压尧湿度尧空气污染与脑卒中发病关系及发病机制 作一综述 旨在为脑卒中的 治提供一定的理论依据遥 关键词 脑卒中曰气象因素曰空气污染曰极端天气 中图分类号 R743.3 文献标识码 A DOI:10.3969/j .issn.1006-1959.2019.16.011 文章编号 1006-1959渊2019冤16-0034-04 Research of Correlation between Meteorological Environmental Factors and the Onset of Stroke CHEN Nian,WANG Chun-ru (Department of Neurology,Ninghe District Hospital,Tianji n 301500,China) Abstract ：Stroke is a cerebrovascular disease with high incidence, high disability rate, high mortality rate and high recurrence rate. The main causes are cerebral arteriosclerosis, cerebral atherosclerosis, vascular congenital abnormalities, etc. Common risks Factors include high blood pressure, diabetes, hyperlipidemia, heart disease, and smoking. Some studies have found that the incidence of stroke is related to meteorology and air pollution, and abnormal weather is one of the risk factors for stroke. This article reviews the relationship between temperature, pressure, humidity, air pollution and stroke incidence and pathogenesis in meteorological factors, aiming to provide a theoretical basis for the prevention and treatment of stroke. Key words ：Stroke;Meteorological factors;Air pollution;Extreme weather 脑卒中（stroke ）是短时间内快速发生的脑血管 温与湖北省居民脑卒中死亡呈反“J”形关系，即低温 疾病，表现为局限性或弥漫性神经功能缺损的临床 和高温均可增加卒中发生和死亡风险。极端天气如 事件，其发病机理复杂，病因多样。脑卒中的高危因 寒潮和热浪均明显增加脑卒中患者死亡的风险，其 素有内在因素（内环境）和外在因素（外环境），内在 中寒潮所致卒中死亡