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目的:探讨脑卒中后脑心综合征(BHS)的临床发病特点及发病机制。方法:对我院2005年8月至2006年8月住院293例脑卒中患者的临床资料作回顾性分析。结果:BHS发病率为51.2%,95%BHS患者于发病后数小时至1周内发生,出血性脑卒中合并BHS的发病率为62.8%,高于缺血性脑卒中发病率(36.1%),蛛网膜下腔出血(SAH)发生BHS的机率最高,为65.4%,病情越重,BHS发病率越高。结论:BHS发生与脑卒中(CVD)的类型、部位、病情轻重程度明显相关,预后多随病情好转而好转,部分可加重致心脑综合征,其发病机制可能为脑卒中导致患者结构性神经功能失调,体液调节功能紊乱,与患者焦虑、恐惧的心理亦有相关性。
Objective: To investigate the clinical characteristics and pathogenesis of post-stroke brain-heart syndrome (BHS). Methods: The clinical data of 293 stroke patients in our hospital from August 2005 to August 2006 were retrospectively analyzed. Results: The incidence of BHS was 51.2%. 95% of BHS patients occurred within a few hours to 1 week after onset. The incidence of BHS in hemorrhagic stroke was 62.8%, higher than that of ischemic stroke (36.1%) , The highest incidence of BHS in SAH was 65.4%. The more serious the disease, the higher the incidence of BHS. CONCLUSIONS: The incidence of BHS is significantly related to the type and location of stroke and the severity of the disease. The prognosis is improved with the improvement of the disease. Some may aggravate the development of cardiocerebral syndrome. The pathogenesis of stroke may be that of the structural nerve Dysfunction, humoral dysfunction, and anxiety, fear of psychological also have relevance.