中青年与老年缺血性卒中患者危险因素的对比研究

Comparative Study on Risk Factors between the Young,Middle-Aged and the Elderly Patients with Ischemic Stroke

目的探讨不同危险因素在中青年卒中与老年卒中患者之间的差异.方法选择2012年1月-2012年5月住院脑梗死患者224例,将其分为中青年组与老年组,对比其性别、职业、吸烟酗酒史、心脏病史、卒中家族史、高血压家族史、糖尿病家族史、高血压、糖尿病、高甘油三酯血症、高胆固醇血症、高低密度脂蛋白血症、低高密度脂蛋白血症、高尿酸血症及高同型半胱氨酸血症等危险因素发生率.结果中青年组与老年组之间,性别、职业、酗酒史、心脏病史、卒中家族史、高血压家族史、糖尿病家族史及糖尿病、心脏病、高胆固醇血症、高低密度脂蛋白血症、低高密度脂蛋白血症、高同型半胱氨酸血症、高尿酸血症发生率之间均无显著性差异（P〉0.05）;而两组患者间吸烟史、高血压病史及高甘油三脂血症发病率差异存在显著性（P〈0.05）.结论中青年患者吸烟及高甘油三脂血症发生率高于老年患者,而高血压发病率低于老年患者.

Objective To explore the difference of risk factors between the young,middle-aged and elderly patients with ischemic stroke.Methods 224 cases were selected with ischemic stroke at the in-patient department of our hospital,from January 2012 to May 2012.All of them were divided into young, middle-aged and elderly groups.The incidence of their risk factors,such as sex,occupation,cigarette smoking,alcohol consumption,hyper-tension,diabetes mellitus,history of heart disease,family history of stroke,hypertension and diabetes mellitus,hyp-ertriglyceridemia,hypercholesterolemia,high low-density lipoprotein,low high-density lipoprotein,hyperuricemia and hyperhomocysteinemia,is compared.Results There was no difference between the two groups in terms of the incidence of age,sex,occupation,alcohol consumption,diabetes mellitus,history of heart disease,family history of stroke,hypertension and diabetes mellitus,hypercholesterolemia,high low-density lipoprotein,low high-density lipoprotein,hyperuricemia and hyperhomocysteinemia（P〉0.05）,while the difference between the two groups in terms of cigarette smoking,hypertension and hypertriglyceridemia was significant（P〈0.05）.Conclusions The incidence of cigarette smoking and hypertriglyceridemia in young,middle-aged group was higher than that in elderly group,while the incidence of hypertension in young,middle-aged group was lower than that in elderly group.