青年缺血性脑卒中与老年缺血性脑卒中的危险因素研究

The Risk Factors of Ischemic Stroke Among Young Patients and Elderly Patients

目的探讨青年缺血性脑卒中(Ischemic Stroke,IS)与老年IS的危险因素。方法将2014年1月~2016年4月来源于廉江市人民医院的神经内科和体检中心的年轻IS患者(42例)、年轻健康者(42例)、老年IS患者(44例)和年老健康者(44)分为A、B、C、D组。结果统计4组脑卒中的危险因素(吸烟、长期饮酒、高血压等),采用Pearson卡方检验、Yates卡方检验、多因素Logistic回归分析相关数据。高血压和糖尿病均是A组和C组的独立危险因素;作息不规律是A组的独立危险因素;血脂异常、心脏病和很少运动是C组的独立危险因素。结论年轻IS与老年IS的独立危险因素有相同之处亦有不同之处。

Objective To investigate the risk factors of Ischemic Stroke （IS） among young patients and elderly patients. Methods The 42 young patients with IS, 42 young healthy individuals, 44 elderly patients with IS and 44 elderly healthy individuals were defined as group A, group B, group C and group D, respectively. The object of study between January 2014 and April 2016 were included in the department of neurology of people＇s hospital of lianjiang and medical examination center of people＇s hospital of lianjiang. Results The risk factors of ischemic stroke in the 4 groups were collected （smoking, long-term drinking, hypertension and so on）. Data was analyzed by the method of Pearson chi square test, Yates chi square test and multi factor Logistic regression. Hypertension and diabetes were independent risk factors in the group A and group C. Irregular work and rest was independent risk factor of group A. Dyslipidemia, heart disease and very little sports activities were independent risk factors of group C. Conclusion Risk factors of young patients with IS and elderly patients with IS have the same places also have different places.