Marks P V, Hope J K, Cluroe A D, Furneaux C E
Department of Neurosurgery, Auckland Hospital, New Zealand.
Br J Neurosurg. 1993;7(2):175-81. doi: 10.3109/02688699309103475.
Racial differences in the incidence and rate of rupture of intracranial aneurysms are well recognized. A retrospective study of racial differences between Maori and European New Zealanders presenting to the Auckland Regional Neurosurgical Unit between 1985 and 1990 was conducted. It was found that the incidence per 100,000 of the population for all aneurysms was 14.3 for Europeans and 25.7 for Maoris. The mean age at rupture was 10 years earlier in Maoris with single aneurysms. A strong association between aneurysmal subarachnoid haemorrhage and cigarette smoking was found in both groups not only for single, but also for multiple aneurysms. Maoris were also found to have an abnormally high incidence of middle cerebral artery aneurysms and a low incidence of vertebrobasilar ones compared with Europeans.
颅内动脉瘤破裂的发病率和发生率存在种族差异,这一点已得到广泛认可。对1985年至1990年间前往奥克兰地区神经外科就诊的毛利人和欧洲裔新西兰人之间的种族差异进行了一项回顾性研究。结果发现,每10万人口中,欧洲人所有动脉瘤的发病率为14.3,毛利人为25.7。单发动脉瘤破裂的平均年龄,毛利人比欧洲人早10岁。在两组中,不仅单发动脉瘤,多发动脉瘤的蛛网膜下腔出血与吸烟之间也存在很强的关联。与欧洲人相比,还发现毛利人大脑中动脉瘤的发病率异常高,而椎基底动脉瘤的发病率低。