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目的 了解海洋石油职工复发性脑卒中情况及影响因素。方法 采用病历回顾性调查法。结果 调查海洋石油职工脑卒中 5 96例 (男 4 19,女 177) ,首发 4 84例 ,复发 112例占 18.8%。男性病人中复发 82例 ,复发率为 19.6 % ,女性病人中复发 30例为 17.0 % ,缺血性脑卒中显著高于出血性脑卒中 ,复发 1次者 6 1例占 5 4 .5 % ,复发次数最多为 7次。复发性脑卒中患者有高血压、糖尿病、高血脂、TIA、高粘血症的百分率明显高于首发脑卒中病例。结论 海洋石油职工复发性脑卒中有较高的发生率且以缺血性脑卒中为多见 ,并有随年龄增加而升高的趋势。其所患各危险因素亦较高 ,故而必须采取一切干预措施 ,降低危险因素 ,减少脑卒中的复发 ,减轻家庭及社会负担。
Objective To understand the recurrent stroke and its influencing factors in offshore oil workers. Methods Medical records retrospective investigation method. Results A total of 5 84 stroke patients (male 4 19, female 177) were investigated, with 844 cases of first stroke and 18.8% of 112 cases of recurrence. Among the male patients, 82 cases were relapsed, the recurrence rate was 19.6%, 30.0% of the female patients were relapsed, 17.0% of the female patients, ischemic stroke was significantly higher than hemorrhagic stroke, 61.5% The number of recurrences is up to 7 times. Recurrent stroke patients with hypertension, diabetes, hyperlipidemia, TIA, hyperviscosity was significantly higher than the percentage of cases of stroke. Conclusion Offshore oil workers have a higher incidence of recurrent stroke and ischemic stroke is more common, and with the increasing trend of age. The risk factors are also high, so we must take all interventions to reduce risk factors, reduce the recurrence of stroke and reduce the burden on families and society.