青年卒中特点、流行现状及健康危险行为研究进展

Research progress on characteristics,prevalence and health risk behaviors of stroke in young adults

青年卒中大多指发生在18~44岁的卒中,国内外情况各异,我国青年卒中形势严峻。近年来,青年卒中发病率明显升高,卒中后导致患者部分或全部劳动能力和生活自理能力的丧失,给其家庭、社会带来沉重负担。与老年人群相比,青年卒中的危险因素更复杂多变,传统血管性危险因素如高血压、糖尿病等十分突出。此外药物滥用、不健康饮食、缺乏运动锻炼等亦可能引起青年卒中的发生,因而针对其危险因素选择有效的预防治疗措施十分重要。本文从青年卒中特点及其流行现状出发,对影响青年卒中可控制的物质滥用行为、不健康饮食行为、缺乏身体活动行为3类行为展开综述,并根据不同行为特点,针对性给出建议,为临床防治提供参考。

Most of the young stroke occurred in 18-44 years old, and the situation is different at home and abroad. However, the situation of young stroke in China is severe. In recent years, the incidence of stroke in young people has increased obviously,which leads to the loss of part or all of the ability of labor and self-care, and brings heavy burden to their families and society.Compared with the elderly, the risk factors of stroke in young people are more complex and changeable, and the traditional vascular risk factors such as hypertension and diabetes are very prominent.In addition, drug abuse, unhealthy diet, lack of exercise and so on may cause youth stroke. Therefore, it is very important to choose effective prevention and treatment measures according to risk factors. Based on the characteristics and prevalence of stroke in young people, this paper reviews three types of controllable behaviors that affect stroke in young people, including substance abuse behavior, unhealthy eating behavior, and lack of physical exercise behavior, and provides some specific suggestions for clinical prevention and treatment according to the characteristics of different behaviors.