Banerjee Tapas K, Choudhury Debashis, Das Ashis, Sekhar Alakendu, Roy Deepa, Sen Suman
Department of Neurology, National Neurosciences Centre, Kolkata 700094.
J Indian Med Assoc. 2005 Dec;103(12):665-8.
This was a retrospective analysis of 7-year (January 1995-December 2001) hospital-based in-patient medical records of stroke cases (subarachnoid haemorrhage excluded) who arrived from various parts of West Bengal. The total number of cases was 801 out of whom 792 had neuro-imaging. There were 399 caes of intracerebral haemorrhage (ICH) and 393 cases of cerebral infarct (CI). The CI: ICH ratio was 0.98. Less than 25% patients reached hospital within 3 hours of stroke onset. Twenty-nine per cent of cases presented with mild stroke (Canadian stroke score > 8.5). Hypertension was observed in 77.3% of ICH cases. The striking finding of this study was a remarkably high number of ICH among the admitted patients. This indicates the need of population-based studies to be conducted at different parts of West Bengal to determine whether them is truly a high prevalence and incidence of ICH in this Indian state.
这是一项回顾性分析,研究对象为1995年1月至2001年12月期间来自西孟加拉邦各地的卒中病例(不包括蛛网膜下腔出血)的住院病历。病例总数为801例,其中792例进行了神经影像学检查。有399例脑出血(ICH)病例和393例脑梗死(CI)病例。CI与ICH的比例为0.98。不到25%的患者在卒中发作后3小时内到达医院。29%的病例表现为轻度卒中(加拿大卒中评分>8.5)。77.3%的ICH病例存在高血压。本研究的显著发现是入院患者中ICH的数量非常高。这表明需要在西孟加拉邦的不同地区开展基于人群的研究,以确定该印度邦是否真的存在ICH的高患病率和发病率。