粤西地区中青年脑卒中流行病学调查及危险因素分析

Epidemiological investigation and risk factors of cerebral apoplexy in young and middle-aged population in western Guangdong

目的了解粤西地区中青年脑卒中发病情况及其危险因素。方法对2010∽2014年我院就诊的脑卒中患者2296例进行现场调查,统计中青年脑卒中发病情况,并分析危险因素。结果中青年脑卒中发病年龄以51∽60岁最多,男女比例为1.53：1。缺血性脑卒中危险因素包括动脉粥样硬化、心源性栓塞、高血压、糖尿病、吸烟等,而出血性脑卒中危险因素包括动脉瘤、高血压病、动静脉畸形、酗酒等。结论粤西地区中青年脑卒中发生与多种因素有关,建议高危人群定期进行体检。

Objective To study the prevalence and risk factors of cerebral apoplexy in young？and？middle-aged population in western Guangdong. Methods Between 2010 and 2014, 2250 patients with cerebral apoplexy underwent a field survey in our hospital. The prevalence and risk factors of cerebral apoplexy in young and middle-aged population were analyzed. Results The age of onset was predominantly 51-60 years in young and middle-aged population, and male/female ratio was 1.53：1. The risk factors were atherosclerosis, cardiogenic embolism, hypertension, diabetes, and smoking for ischemic stroke, and aneurysm, hypertension, arteriovenous malformation, and alcoholism for hemorrhagic stroke. Conclusion The development of cerebral apoplexy can be related to multiple factors in young and middle-aged population in western Guangdong. It is suggested that the regular physical examination should be made in the high-risk population.