青年缺血性卒中病人病因及危险因素的临床分析

CLINICAL ANALYSIS OF RISK FACTORS AND CAUSATIVE AGENT IN YOUNG PATIENTS ISCHEMIC STROKE

目的:探讨青年性卒中发生的病因及危险因素。方法:对45例45岁以下青年性卒中病人进行个人史、家族史、颈部血管彩超、血糖、血脂水平及HCY、FA、VitB12水平的测定进行分析,并与健康对照组、老年脑梗塞组比较分析。结果:青年缺血性卒中病人患高血压、糖尿病等危险因素的发病率高于正常对照组,血清HCY高于正常对照组,血清叶酸及血清维生素B12水平低于青年对照组。结论:青年性卒中的发病病因多样且复杂,但仍以高血压动脉硬化为主,血清HCY含量高于正常,也是青年缺血性脑血管病的危险因素。

Objective： Probing the risk factors and causative agent in young ischemic stroke.Methods： Analyzing the personal history,their family history,cervical vascular ultrasonic,blood sugar,blood ypids,HCY,FA and VitB12 of 45 young ischemic stroke patients under 45 years old,and then compare the results with the healthy control group and elder patients cerebral infarction group.Results： comparing to normal group,the young ischemic stroke have high mobility rate of hypertension arteriosclerosis,diabetes,and so on.In the meantime,the HCY in the serum is higher than the control group,but FA and VitB12 is lower than the control group.Conclusion： Although the reason of young ischemic stroke is very complex,but hypertension arteriosclerosis is the most important causative agent,HCY is another risk factor contributing to the young ischemic stroke.