青年与中老年急性脑梗死MR特点和危险因素对比研究

Comparative Study on MR Characteristics and Risk Factors between Young Patients and Middle-aged and elderly Patients with Acute Ischemic Stroke and the Value of Prevention

本文研究了青年与中老年急性脑梗死发病危险因素和MR特点,探讨其对临床诊治及预防的价值。对青年组和中老年组患者的病历资料及影像学资料进行对比分析,结果发现,两组最常见的危险因素均是高血压、高甘油三酯血症和吸烟。中老年组急性脑梗死患者高血压、糖尿病、高胆固醇血症的发生率明显高于青年组(P<0.05);青年组急性脑梗死患者高甘油三酯血症和吸烟的发生率明显高于中老年组(P<0.05)。两组患者脑部的MRA表现正常率及多支血管异常率差异均具有统计学意义(P<0.05),而病灶大小、病灶数量、急性脑梗死的各部位之间均无统计学差异(P>0.05)。

In this paper,the is risk factors and MR characteristics of acute cerebral infarction in young and middle-aged and elderly were studied,and it is value in clinical diagnosis,treatment and prevention was discussed.To compare and analyze the medical records and imaging data of the young group and the middle-aged and elderly group.The results showed that the most common risk factors were hypertension,hypertriglyceridemia and smoking.The incidence of hypertension,diabetes and hypercholesterolemia in the middle-aged and elderly patients with acute cerebral infarction was significantly higher than that in the young group(P<0.05);the incidence of hypertriglyceridemia and smoking in the young group was significantly higher middle-aged and elderly group(P<0.05).The difference between the two groups was statistically significant in the normal rate of brain MRA and the abnormal rate of multiple vessels(P<0.05);there was no statistical difference in lesion size and number of lesions,and between various parts of acute cerebral infarction(P>0.05).