在缺血性和出血性中风中,中风发病时间和临床结果之间的关系:系统性审查
Paria Heidari1, Negar Heidari2, Habibolah Khazaie3
1Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
概括
脑卒中时间会影响患者的治疗结果. 夜间中风,无论是缺血性还是出血性,都与严重程度的增加和较差的结果有关,为更好的预防和治疗策略提供了信息.
科学领域:
- 神经学 神经学
- 循环节生物学 循环节生物学
- 公共卫生 公共卫生
背景情况:
- 脑血管事故 (CVA),或中风,涉及到中断的血液流向大脑,造成神经元损伤.
- 脑卒中主要分为缺血性或出血性.
- 了解中风发作的昼夜变化对于患者管理和研究至关重要.
研究的目的:
- 系统地审查中风发作时间和患者结果之间的关系.
- 分析缺血性和出血性中风类型的时间模式.
主要方法:
- 在Embase,PubMed,Scopus,WoS,ScienceDirect和谷歌学者数据库中进行全面的搜索.
- 包括基于英语的关于CVA风险的观察性研究在不同时间,没有日期限制.
- 从符合条件的研究中提取和分类数据.
主要成果:
- 缺血性中风主要发生在早上,有些人表现出双模模式.
- 夜间中风 (缺血和出血) 与更严重和不利的结果有关.
- 出血性中风的发病率显示出不同的模式,一些研究指出早晨的高峰,而另一些研究指出晚上/夜间发生.
结论:
- 循环节模式显著影响中风发生率和结果.
- 这些发现可以加强中风预防策略和治疗管理.
- 了解中风时间是改善患者治疗结果的关键.
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