中青年脑卒中危险因素分析

Analysis of the Risk Factors of Stroke in Youth and Middle-aged Adults

目的:探讨中青年脑卒中患者的高危因素,从而有效指导该病的预防和治疗。方法:收集、整理荆门市第一人民医院神经内科住院的脑卒中患者病历资料,年龄小于60岁者235例,为中青年组;年龄大于60岁者170例,为老年组。比较两组的临床资料,分析中青年脑卒中患者的高危因素,并运用SPSS13.0软件进行统计学分析。结果:中青年组患者平均年龄(43.46±6.62)岁,男、女比例为3.58∶1。中青年组与老年组的比较,危险因素中的吸烟、酗酒、TIA史、心源性疾病所占比例均较大,差异有统计学意义(P<0.05)。血脂检查显示中青年组高密度脂蛋白为(1.21±0.16)mmol/L,老年组高密度脂蛋白为(1.52±0.78)mmol/L,两组相比具有显著性差异(P<0.05)。结论:中青年组脑卒中患者中男性发病率明显高于女性。吸烟、酗酒、家族史、高密度脂蛋白减少是中青年缺血性脑卒中的重要危险因素。

Objective：To study risk factors of the middle-aged and youth patients with stroke and effectively guide its prevention and treatment.Methods：Collected the medical records of Jingmen first people＇s hospital medical inpatients 235 patients less than 50 years old were as a middle-aged and youth group;170 cases older than 50 years were as the elderly group.Compared two groups and analyzed risk factors of middle-aged and youth patients with stroke.Used statistical software SPSS13.0 for statistical analysis.Results：middle-aged and youth patients with stroke average age was（43.46±6.62）years old,the ratio of the male to female was 3.58∶1.Youth and middle-aged group and old comparison,risk factors of smoking,drinking,TIA history,heart source sex disease had bigger proportion,It was a statistically significant（P0.05）.In young and middle-aged group high-density lipoprotein was（1.21±0.16）mmol/L and in elderly group was（1.52±0.78）mmol/L.It was a significant difference（P 0.05）.Conclusion：In middle-aged and youth group,the morbidity of male was much higher than women.smoking,drinking,family history,plasma lipoproteins high density lipoprotein reduction are major risk factors of ischaemic stroke in youth and middle-aged adults.