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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Drops in Barometric Pressure Are Associated with Deep Intracerebral Hemorrhage
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Drops in Barometric Pressure Are Associated with Deep Intracerebral Hemorrhage

机译:气压下降与深部脑出血有关

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Background and purpose: The objective of this study is to assess the effects of changes in barometric pressure and outdoor temperature on the incidence of different subtypes of intracerebral hemorrhage (ICH). Methods: Consecutive patients with primary supratentorial ICH were included. All patients resided in the same geographic area. We compared patients with subcortical ICH to those with cortical ICH. Meteorological data were continuously accrued. High-risk ICH days were defined as those on which 1 or more patients with ICH were admitted and compared to non-high-risk days. We analyzed the relationship between spontaneous ICH location and averaged daily atmospheric pressures and temperatures. Results: We included 206 patients (147 with deep ICH and 59 with lobar ICH). Patients with deep ICH were younger (P < .001), more often had histories of diabetes, smoking and previous lacunar strokes, and were more often male (P < .01 for all). Drops in mean air pressure 2 days prior to the ictus were associated with deep but not lobar ICH (P = .006). Deep ICH clustered during February months in parallel with larger changes in barometric pressures (P < .001). Conclusions: Drops in daily atmospheric pressures were associated with deep but not cortical ICH, suggesting a link to hypertensive etiology. Changes in barometric pressures were also associated with higher monthly frequencies of ICH.
机译:背景与目的:这项研究的目的是评估气压和室外温度变化对脑出血(ICH)不同亚型的发生率的影响。方法:包括连续性原发性幕上ICH患者。所有患者均居住在同一地理区域。我们比较了皮质下ICH与皮质ICH的患者。不断积累气象数据。高危ICH天的定义是接受1例或更多ICH患者并与非高危ICH天进行比较的那些天。我们分析了自发性ICH位置与平均每日大气压和温度之间的关系。结果:我们纳入206例患者(其中147例患有深层ICH,59例患有大叶性ICH)。患有重度ICH的患者较年轻(P <.001),患有糖尿病,吸烟和既往腔隙性卒中的病史更多,而男性则更常见(P <.01)。发作前2天的平均气压下降与ICH较深但无相关性(P = .006)。在2月的几个月中,深层ICH聚集在一起,并且大气压力发生较大变化(P <.001)。结论:每日大气压的下降与深层但不是皮质性脑出血相关,提示与高血压病因有关。大气压力的变化也与ICH每月较高的频率有关。

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