| Objectives:Investigating the risk factors and clinical symptoms of TABD diagnosed by our center in Yunnan Province,to deepen the understanding of TBAD,enhance the prevention,improve diagnosis and treatment rate,reduce the mortality rate.Methods:Retrospective analysis study was used.The case group:Check the clinical data(including:gender,age,onset time,complication,past medical history and initial symptom)of 177 patiens diagnosed by CTA in the First Affiliated Hospital of Kunming Medical University from January,2016 to December,2018.Observation target:The features of distribution of gender,age,onset season,specific time,initial symptom,complication and past medical history.The control group:Refer to the same period patients were in hospital in the hospital,Who are excluded TBAD by CTA examination.Measurement data with normal distribution were represented as x±S and enumeration data were described as constituent ratio.The statistical analysis was used by software of SPSS 24.0,lines 1:1 of similar age and gender in the case group and the control group,all the factors were analyzed by Cox regression analysis,all testing is two-tailed,taking P<0.05 for the difference was statistical significant.Results:Clinical data analysis:(1)From January 1,2016 to December 31,2018,the First Affiliated Hospital of Kunming Medical University diagnosed 177 patients with TBAD,of which 141 were male patients and 36 were female patients.Male patients are significantly more than female,with a ratio of approximately 4:1;(2)Age distribution:the average age of patients with illness(55.46±11.84),the youngest 22 years old and the oldest 84 years old;(3)Distribution of the onset season:patients with TBAD have obvious seasonality,were common in winter(67cases,accounting for 37.9%)and at least summer(27 cases,accounting for 15.3%);(4)The specific time distribution of onset:afternoon(13:00-16:00)and evening(17:00-20:00)have the highest incidence(105 cases,accounting for about 60%),Night(l:00-8:00)is the least(26 cases,accounting for about 15%);(5)Initial symptom distribution:152 patients with chest back pain,accounting for 85.9%;There were 15 cases of abdominal pain,accounting for 8.5%;No clinical symptoms were 3 cases,accounting for 1.7%;2 cases had pain in lower limb,accounting for 1.1%,2 patients with syncope,accounting for 1.1%;The performance was cough hemoptysis 3 cases,accounting for 1.7%;(6)past medical history:158 patients with hypertension,accounting for 89.3%;87 patients with OSAHS,accounting for 49.2%,combined renal cysts 66 cases,accounting for 37.3%,6 patients with combined diabetes,accounting for 3.4%,72 patients with combined hyperuricemia,accounting for 40.7%,and 56 patients with high GGT,accounting for 31.7%.There were 24 cases of hyperlipidemia,accounting for 13.6%,101 cases of past long-term smoking history,accounting for 57.1%,and 14 cases of past drinking history,accounting for 7.9%.2.Risk factor analysis:The statistical analysis was used by sofhware of SPSS 24.0,The results showed that hypertension,OSAHS,renal cyst,high GGT,hyperuricemia and smoking were the risk factors of TBAD.Diabetes may be a protective factor for TBAD.Conclusions:TBAD occurs in middle-aged and elderly men.The onset of TBAD has seasonality and temporality.The incidence rate in winter is highest.,are common in afternoon and evening.The initial symptoms are mainly chest and back pain,and a few cases are also abdominal pain,limb pain and syncope.Hypertension,OSAHS,renal cysts,high GGT,hyperuricemia,and smoking are risk factors for TBAD;Diabetes may be a protective factor for TBAD. |
PDF Full Text Request