青年缺血性脑卒中与老年缺血性脑卒中的危险因素研究

Study on Risk Factors of Young Ischemic Stroke and Senile Ischemic Stroke in Adults

目的对青年缺血性脑卒中与老年缺血性脑卒中的危险因素作进一步分析。方法便利筛选2015年1月—2017年12月该院接收的100例缺血性脑卒中患者,依据年龄分层法将其分成2组:选50例青年(年龄35～50岁)患者作研究组,选50例老年(年龄60～88岁)患者作对照组,回顾性分析2组临床资料,对2组脑卒中危险因素展开分析,并作对比。结果经对2组危险因素发病率展开调查发现,研究组的吸烟、酗酒等危险因素所占比率70.00%(X^2=10.214),60.00%(X^2=9.265),均比对照组的40.00%,34.00%更高(P<0.05);研究组在高血脂、高血压、糖尿病、动脉狭隘等危险因素中占比率分别为4.00%(X^2=17.245),6.00%(X^2=12.652),2.00%(X^2=20.154),0.00%(X^2=15.251)均比对照组的78.00%,80.00%,52.00%,88.00%,更低(P<0.05);研究组中性粒细胞/淋巴细胞比值升高发生率12.00%(X^2=1.324),高HCY发生率10.00%(X^2=1.254)与对照组(16.00%、12.00%)的相比,差异无统计学意义(P>0.05)。结论经对以上临床资料进行分析,发现青年缺血性脑卒中与老年缺血性脑卒中患者所涉及的危险因素较多,临床需加强重视。

Objective To further analyze the risk factors of ischemic stroke and senile ischemic stroke in the young. Methods 100 patients with ischemic stroke received from the hospital from January 2015 to December 2017 were convenient selected and divided into two groups according to age stratification： 50 patients（age 35-50 years old） were selected as study group. 50 elderly patients（aged 60-88 years old） were selected as the control group. The clinical data of the two groups were retrospectively analyzed. The risk factors of the two groups were analyzed and compared. Results A survey of the risk factors of the two groups showed that the risk factors of smoking and alcohol abuse in the study group were 70.00%（X^2=10.214） and 60.00%（X^2=9.265）, which were 40.00% higher than the control group, 34.00% was higher（P〈0.05）; the study group accounted for 4.00%（X^2=17.245）, 6.00%（X^2=12.652）, 2.00%（X^2=20.154）, 0.00%（X^2=15.251） of risk factors such as hyperlipidemia, hypertension, diabetes, and arterial narrowness, which were 78.00%, 80.00%, 52.00%, 88.00% lower than the control group（P〈0.05）; the neutrophil/lymphocyte ratio in the study group was increased. The high incidence rate was12.00%（X^2=1.324）, and the high HCY incidence rate was 10.00%（X^2=1.254）. Compared with the control group（16.00%,12.00%）, there was no significant difference（P〉0.05）. Conclusion After analyzing the above clinical data, it is found that there are many risk factors involved in ischemic stroke and senile ischemic stroke in young patients, and the clinical needs should be emphasized.