| Compared with other countries, the death of stroke is serious. There is the report that the death of stroke is 3 times than the death of ischemic heart disease. People who needs to be cared unceasingly increase after stroke, which leads to a world of economic burden of treatment. So it's necessary to carry on the clinical research on stroke and establish effective treatment and precaution method. But there are not much data on clinical medicine epidemiology about stroke, especially about analyses report of different case grouping during acute stroke. The data bank of acute stroke patient in Japan makes comparison research possible. This study is to make practical condition clearer by utilizing basal data bank compared with Japans.Material and MethodMaterial; Patients above 50 years in series in acute cerebral infarction for the first time within 7 days in Shenyang First People Hospital (HI) and Chinese Medical University attached the Second Hospital(H2) , except for TIA. 975 patients in acute cerebral infarction for the first time in neuro - medical department in HI from January in 2000 to January in 2002 and 378 ones in H2 from A-pril in 2001 to July in 2002 are involved.The basal data bank of acute stroke patients was set up by necessary item such as basal information; sex, age; symptom or stoke risk factors like hypertension ; diagnosis information: ECG, stroke past history, family history; image information: CT, MRI; treatment in acute stage, standard of in stroke: JSS, NIHSS and the definite diagnosis information - modified rankin scake and NINDS - CVDffl as the reference.In the Japanese cases, there are people with hypertension diagnosed on orafter admission (BPH > 160/90mmHg) , people with diabetes diagnosed on admission ( random blood sugar > 200mg/dl, or blood - fasting sugar > 126mg/dl, or blood sugar when 2 hours after 75g glucose load experiment > 200mg/dl) , people with hyperlipemia on admission (total cholesterol > 240mg/dl or neutral fat on an empty stomach > 180mg/ dl) , furthermore, the cerebral infarction diagnosis by morbidity time, morbidity type, stroke risk factors, MRI, MRA, CT, carotid artery color ultrasound, the signs of nervous system. In the chinese cases, there are people with hypertension before or after acute stage ( BPH > 160/90 mmHg) , people with diabetes before admission (random blood sugar > 200mg/dl, or blood -fasting sugar > 126mg/dl, or blood sugar when 2 hours after 75 g glucose load experiment > 200mg/dl) , people with hyperlipemia before admission (total cholesterol > 200mg/dl or neutral fat on an empty stomach > 150mg/dl). There are cases with attack or persistence atrial fibrillation in both Japan and Chinese. Because there is almost no information about MRI, MRA and carotid artery color ultrasound in china, so the following is the chinese stroke category:Cardiogenic cerebral embolism1. Heart disease with the root of making embolism ( atrial fibrillation or val-vula disease, etc)2. Not brady progressive morbidity Lacune infarction:1. The signs of Iacune2. Focus of infection < 15mm or no responsibility focus of infection on CTinfarction due to cholesterol1. Arterial sclerosis, not lacune infarction (focus of infection > 15mm)based on this basal data bank, we discuss the cases of acute cerebral infarction for the first time above 50 years according to age, sex, morbid - dity frequency of different type, risk factors, responsibility focus of infection, JSS and NIHSS on admission or discharge. In Japan, we choose 929 cases of acute cerebral infarction for the first time (with in 1 week) above 50 years in 50 hospitals in JSSRS from January to December in 2001, except cases below 50 years and with other special causes(160 in Japan and 223 in China).Statistical treatment: unpaired t test on age, Mann - Whitney u test on JSS and NIHSS, x2 test on others. P <0.1 is the significantly difference.Result1. Morbidity age between Japan and ChinaAverage age of acute stoke at the first time in HI is 68. 0 ?8.9, 65.7 ?7. 7 in H2. 71.3 ?0. 2 in... |
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