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2016年熊本地震后缺血性中风患者的临床特征

Clinical characteristics of patients with ischemic stroke following the 2016 Kumamoto earthquake.

作者信息

Inatomi Yuichiro, Nakajima Makoto, Yonehara Toshiro, Ando Yukio

机构信息

Department of Neurology, Saiseikai Kumamoto Hospital, Kumamoto, Japan.

Department of Neurology, Graduate School of Medical Sciences, Kumamoto University, Kumamoto, Japan.

出版信息

J Clin Neurosci. 2017 Dec;46:79-84. doi: 10.1016/j.jocn.2017.08.034. Epub 2017 Sep 1.

Abstract

To investigate the clinical characteristics of patients with ischemic stroke following the 2016 Kumamoto earthquake. We retrospectively studied patients with ischemic stroke admitted to our hospital for 12weeks following the earthquake. We compared the clinical backgrounds and characteristics of the patients: before (the same period from the previous 3years) and after the earthquake; and the early (first 2weeks) and late (subsequent 10weeks) phases. A total of 194 patients with ischemic stroke were admitted to our hospital after the earthquake; 496 (165.3/year) patients were admitted before the earthquake. No differences between the two groups were noted for the clinical backgrounds, characteristics, or biomarkers. Past history of sleeping in a shelter or small vehicle was found in 13% and 28% of patients, respectively. Sleeping in a shelter (27% vs. 10%, p=0.013) was found more frequently in patients during the early phase than during the late phase after the earthquake. Admission of patients with ischemic stroke increased after the earthquake; however no differences between before and after the earthquake were noted for their clinical characteristics. To prevent ischemic stroke following earthquakes, mental stress and physical status of evacuees must be assessed.

摘要

调查2016年熊本地震后缺血性脑卒中患者的临床特征。我们回顾性研究了地震后12周内入住我院的缺血性脑卒中患者。我们比较了患者地震前(前3年同期)和地震后的临床背景及特征,以及早期(前2周)和晚期(随后10周)阶段的情况。地震后共有194例缺血性脑卒中患者入住我院;地震前有496例(每年165.3例)患者入院。两组在临床背景、特征或生物标志物方面未发现差异。分别有13%和28%的患者有在避难所或小型车辆中睡觉的既往史。地震后早期患者在避难所睡觉的情况(27%对10%,p = 0.013)比晚期更常见。地震后缺血性脑卒中患者的入院人数增加;然而,地震前后患者的临床特征未发现差异。为预防地震后的缺血性脑卒中,必须评估撤离者的精神压力和身体状况。

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