青年人群脑梗死引起脑动脉狭窄的临床危险因素分析

Analysis of Clinical Risk Factors of Cerebral Artery Stenosis in Young Persons with Cerebral Infarction

目的探讨青年人群脑梗死患者引起脑动脉狭窄的临床危险因素。方法以2013年1月—2016年12月间收治的90例青年脑梗死患者为研究对象,根据血管异常与否分为动脉狭窄组和非动脉狭窄组,对可能的血管狭窄危险因素进行统计分析。结果本组90例患者中,脑动脉狭窄者59例,发生率为65.6%。单因素分析显示,动脉狭窄组与非动脉狭窄组患者的性别、吸烟、饮酒、高血压、糖尿病、尿酸、血脂相关指标差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,吸烟、饮酒、高血压、糖尿病、高尿酸血症、血脂异常是独立危险性因素,具有统计学意义(P<0.05)。结论吸烟、饮酒、高血压、糖尿病、高尿酸血症、血脂异常是青年人群脑梗死患者引起脑动脉狭窄的独立危险性因素,应当合理膳食、戒烟限酒、适量运动,形成健康的生活方式,积极控制血压、血糖、血脂水平,从而降低青年人群脑梗死的发生风险。

Objective To explore the clinical risk factors of cerebral artery stenosis in young persons with cerebral infarction. Methods From January 2013 to December 2016,90 youth persons with cerebral infarction in our hospital were divided into stenosis group and non-stenosis group. The possible risk factors of vascular stenosis were statistically analyzed.Results There were 59 cerebral artery stenosis patients in all 90 cases. The incidence was 65. 6%. Univariate analysis showed that there was significant difference in gender,smoking,drinking,hypertension,diabetes,uric acid and blood lipid in patients of stenosis group and non arterial stenosis group（ P〈0. 05）. Multivariate Logistic regression analysis showed that smoking,drinking,hypertension,diabetes,hyperuricemia and dyslipidemia were the main risk factors（ P〈0. 05）. Conclusion Cerebral artery stenosis is an important factor of cerebral infarction in youth persons. Smoking,drinking,hypertension,diabetes,hyperuricemia,dyslipidemia are the risk factors. We should have reasonable diet,give up smoking and alcohol,exercise moderately,adopt a healthy lifestyle,control blood pressure,blood sugar,blood lipid levels,thereby reducing the risk of cerebral infarction in youth persons.