Kato Naoki, Hasegawa Toshinori, Iizuka Hiroshi, Kato Takenori, Yamamoto Takashi, Torii Jun
Department of Neurosurgery, Komaki City Hospital.
No Shinkei Geka. 2018 Jun;46(6):481-489. doi: 10.11477/mf.1436203757.
To date, there have been many publications concerning relationship of meteorological condition and stroke onset. However, little is known about detailed meteorological factors that affect stroke onset. With hospital characteristics that most inpatients at our institution lived around Komaki, we examined the relationship between stroke onset and meteorological factors based on detailed meteorological data of Komaki.
Between April 1, 2012 and March 31, 2015, 1351 stroke patients admitted to Komaki City Hospital were enrolled in this study. These patients were classified into hypertensive intracranial hemorrhage(ICH), subarachnoid hemorrhage(SAH), and cerebral infarction(CI). Meteorological conditions such as season, weather, temperature, atmospheric pressure, and humidity were evaluated as factors that affect stroke onset.
The incidence of ICH was lower in summer, and the minimum daily temperature was significantly related to ICH onset. The incidence of SAH was significantly related to the temperature difference compared to that on the previous day. When the mean temperature was lower than that on the previous day, the incidence of SAH was higher. No meteorological factor was found to affected the incidence of CI in this study.
This study indicated that seasons and temperatures affect stroke onset.
迄今为止,已有许多关于气象条件与中风发病关系的出版物。然而,对于影响中风发病的详细气象因素却知之甚少。鉴于我们机构的大多数住院患者居住在小牧市附近的医院特点,我们基于小牧市的详细气象数据研究了中风发病与气象因素之间的关系。
2012年4月1日至2015年3月31日期间,小牧市立医院收治的1351例中风患者纳入本研究。这些患者被分为高血压性颅内出血(ICH)、蛛网膜下腔出血(SAH)和脑梗死(CI)。将季节、天气、温度、大气压和湿度等气象条件作为影响中风发病的因素进行评估。
ICH的发病率在夏季较低,每日最低气温与ICH发病显著相关。SAH的发病率与前一天相比的温差显著相关。当平均气温低于前一天时,SAH的发病率较高。本研究未发现气象因素影响CI的发病率。
本研究表明季节和温度会影响中风发病。