217例青年急性脑梗死不同性别病因的回顾性分析

Retrospective Analysis of Different Sex Causes of 217 Young Patients with Acute Cerebral Infarction

目的探讨青年急性脑梗死不同性别发病危险因素、病因的差异。方法采用回顾性研究方法 ,方便收集厦门大学附属福州第二医院神经内科、ICU科自2010年1月—2016年6月住院期间年龄<45岁青年急性脑梗死患者217例,按不同性别分为男、女两组进行分析。结果危险因素中高血压占25.3%、高脂血症占18.0%、吸烟占15.2%、糖尿病占14.7%、高同型半胱氨酸占13.4%,是青年脑梗死最主要危险因素,在吸烟、高凝状态不同性别间存在差异。结论青年脑梗死的病因主要为动脉粥样硬化,男性发病高于女性,按TOAST病因分型不同性别在LAA、SUE组间存在差异。

Objective To investigate the differences in risk factors and etiology of acute cerebral infarction in young adults.Methods A retrospective study was conducted to convenient collect 217 patients with acute cerebral infarction aged <45 years old from the Department of Neurology and ICU of Fuzhou Second Hospital affiliated to Xiamen University from January 2010 to June 2016,and they were divided into two groups of men and women for analysis.Results Among the risk factors,hypertension accounted for 25.3%,hyperlipidemia accounted for 18.0%,smoking accounted for 15.2%,diabetes accounted for 14.7%,and high homocysteine accounted for 13.4%.It is the most important risk factor for cerebral infarction in young people.There are differences between different genders in the condensed state.Conclusion The cause of cerebral infarction in young people is mainly atherosclerosis.The incidence of male cerebral infarction is higher than that of female.There are differences between LAA and SUE groups according to the gender of TOAST.