巴基斯坦信德省城乡神经科门诊患者神经系统疾病谱：一项横断面研究。

Spectrum of neurological disorders in neurology outpatients clinics in urban and rural Sindh, Pakistan: a cross sectional study.

机构信息

Department of Medicine and Neurology, Aga Khan University, Karachi, Pakistan.

Department of Neurology, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, Pakistan.

出版信息

BMC Neurol. 2019 Aug 13;19(1):192. doi: 10.1186/s12883-019-1424-1.

DOI:10.1186/s12883-019-1424-1

PMID:31409323

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6691523/

Abstract

BACKGROUND

Neurological disorders are the most common cause of morbidity and mortality in developing countries. Available evidence on urban-rural differences on neurological diseases is scare in such countries. Our study objective was to determine the prevalence of neurological diseases in urban and rural tertiary care hospitals of Sindh, Pakistan.

METHODS

This was a cross sectional study conducted in selected urban and rural region of tertiary care hospitals of Sindh, Pakistan. The outpatients medical records of adults (18 years and above) was obtained from January 1st, 2014 to December 31st, 2014.

RESULTS

A total of 10,786 outpatients visit were recorded in this period. Mean age of the participants was 40.6 ± 15 years; majority was females 6104 (56.6%). About three-fourth of the patients were from rural hospital 7828 (72.6%). Common neurological diseases were headache disorders 3613 (33.4%), nerve and root lesion 2928 (27.1%), vascular diseases 1440 (13.3%), epilepsies 566 (5.2%), muscle disorders 424 (3.9%), psychiatric disorders 340 (3.1%) and CNS infection 303 (2.8%). Comparison between the urban and rural samples showed that ischaemic stroke (72.7% vs. 82%) and psychiatric disorders (2.1% vs. 3.5%) were more prevalent in rural area as compared to urban setting.

CONCLUSION

Stroke, headache and nerve and root lesion are major causes of neurological disorders in urban and rural settings of Sindh, Pakistan. The policy and planning must be focus on primary care, preventive measures and the promotion of health.

摘要

背景

在发展中国家，神经疾病是发病率和死亡率的最主要原因。关于这些国家城乡之间神经疾病差异的现有证据很少。我们的研究目的是确定巴基斯坦信德省城市和农村三级保健医院的神经疾病患病率。

方法

这是一项在巴基斯坦信德省选定的城市和农村三级保健医院进行的横断面研究。从 2014 年 1 月 1 日至 2014 年 12 月 31 日，获取了成年（18 岁及以上）门诊患者的病历。

结果

在此期间共记录了 10786 名门诊患者。参与者的平均年龄为 40.6±15 岁；大多数是女性 6104 名（56.6%）。约四分之三的患者来自农村医院 7828 名（72.6%）。常见的神经疾病有头痛障碍 3613 名（33.4%）、神经和根病变 2928 名（27.1%）、血管疾病 1440 名（13.3%）、癫痫 566 名（5.2%）、肌肉疾病 424 名（3.9%）、精神疾病 340 名（3.1%）和中枢神经系统感染 303 名（2.8%）。城乡样本比较显示，农村地区缺血性中风（72.7%对 82%）和精神疾病（2.1%对 3.5%）的发病率高于城市地区。