青年缺血性脑卒中的危险因素及临床分型分析

Risk Factors and Clinical Characteristics for Youth Ischemic Stroke

目的分析青年缺血性脑卒中的危险因素及临床特点。方法随机入选2013年5月—2014年8月入住该院治疗的青年缺血性脑卒中患者、老年缺血性脑卒中患者及同期健康检查的青年人各100例,分别计为甲、乙、丙组,对比不同年龄段患者的临床分型,并探究各危险因素的影响程度。结果甲组中男性(77%)多于女性(23%),与乙组相比差异具有统计学意义(P<0.05);甲组以大动脉粥样硬化性脑梗死(LAA)与小动脉闭塞型(SAO)为主且其原因未知型(UND)比例显著高于乙组(P<0.05);甲组抽烟、酗酒、高血压、高脂血症及糖尿病等危险因素均显著高于丙组,差异有统计学意义(P<0.05)。结论青年缺血性脑卒中患者中以LAA为主,且男性患者比例显著高于女性,抽烟、酗酒、高血压、高脂血症等是引发该病的危险因素。

Objective To study the clinical characteristics of youth ischemic stroke and to analyze several risk factors.Methods 300 cases in our department from May 2013 to August 2014 were selected, among them 100 young adults with ischemic stroke were selected as the first group, 100 elder patients with ischemic stroke were selected as the second group,another 100 healthy young adults undergoing routine physical examination were selected as controls. Comparing the risk factors and clinical characteristics. Results A group of male（77%） than women（23%）, compared with group B, the difference was statistically significant（P〈0.05）; group A with atherosclerotic cerebral infarction（LAA） and small artery occlusion（SAO） and its reason unknown type（UND） was significantly higher than that in group B（P〈0.05）; the risk of smoking and drinking, hypertension, hyperlipidemia and diabetes mellitus were significantly higher than those in group C, the difference was statistically significant（P〈0.05）. Conclusion LAA is the most common subtype of youth ischemic stroke, and the cases of male were more than female. The development of youth ischemic stroke is the consequence of several risk factors.