青年脑梗死与中老年脑梗死临床资料的对比探究

Comparative study of clinical data of cerebral infarction between young people and middle-aged and elderly people

目的通过临床资料对比,探究青年和中老年脑梗死在病因、危险因素、临床特点及预后的异同。方法选取因脑梗死住院的青年病人(17～45岁)41例,中老年脑梗死病人(>45岁)353例,对其临床资料进行对比研究。结果 2组患者病因不完全相同,老年患者中主要病因为动脉粥样硬化,青年脑梗死患者的病因除动脉粥样硬化外,心源性因素等亦可见;2组病例有多项共同的危险因素如:糖尿病、高血压、高脂血症、饮酒、吸烟;2组患者的临床表现及预后差别较大,老年患者临床表现较青年者明显严重,预后也更差。结论青年脑梗死与中老年脑梗死具有许多共同危险因素,但两者病因不完全相同,后者临床症状较重,且预后明显较前者差。

Objective To investigate the similarities and differences of etiological factor, risk factors, clinical features and prognosis of cerebral infarction between young people and middle-aged and elderly people by analyzing clinical data. Methods 41 cases of young patients with cerebral infarction （17 to 45 years old） and 353 cases of middle-aged and elderly patients with cerebral infarction （more than 45 years old） were selected to compare their clinical data. Results Two groups had different eti- ological factors; The main etiological factor of middle-aged and elderly patients with cerebral infarction was atherosclerosis, however, the main etiological factor of young patients with cerebral infarction also included cardiogenic factors besides athero- sclerosis; Two groups of patients also had the following common pathogenic factors： diabetes, hypertension,hyperlipidemia, drinking and smoking; The clinical manifestations and prognosis of middle-aged and elderly patients with cerebral infarction were more serious than these of young patients with cerebral infarction. Conclusion Young patients with cerebral infarction and middle-aged and elderly patients with cerebral infarction have common risk factors and different etiological factor. The clin- ical manifestations and prognosis of middle-aged and elderly patients with cerebral infarction were more serious than these of young patients with cerebral infarction.