青年脑梗死86例的危险因素分析

Analysis and exploration on risk factors of 86 young people with cerebral infarction

目的:分析青年人患脑梗死(CI)的危险因素。方法:2018年8月-2020年9月收治青年CI患者86例,列入观察组;选取同期青年健康人员89例,列入对照组。比较两组血糖、血脂及血压水平,并分析CI的危险因素。结果:观察组空腹血糖(FBG)、餐后2 h血糖(2 hPG)、低密度脂蛋白(LDL-C)、甘油三酯(TG)、总胆固醇(TC)、舒张压(DBP)和收缩压(SBP)水平均高于对照组,高密度脂蛋白(HDL-C)水平低于对照组,差异均有统计学意义(P<0.05)。青年CI的危险因素为吸烟、酗酒、心脏、结缔组织疾病、血液系统异常与女性因素(妊娠、口服避孕药)等。结论:青年人CI的危险因素较多,需严格规范其生活习惯,对症治疗心脏以及结缔组织类疾病,同样将血液疾病与妊娠者列为高危人群,予以积极监测,以预防CI。

Objective:To analyze the risk factors of cerebral infarction(CI)in young people.Methods:From August 2018 to September 2020,86 young CI patients were selected and included in the observation group.89 healthy young people in the same period were selected and included in the control group.We compared the levels of blood glucose,blood lipids and blood pressure between the two groups,and analyzed the risk factors of CI.Results:The levels of fasting blood glucose(FBG),2 h postprandial blood glucose(2 hPG),low density lipoprotein(LDL-C),triglyceride(TG),total cholesterol(TC),diastolic blood pressure(DBP)and systolic blood pressure(SBP)in the observation group were higher than those in the control group,while the level of high density lipoprotein(HDL-C)in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).The risk factors for CI in youth include smoking,alcohol abuse,heart disease,connective tissue disease,blood system abnormalities and female factors(pregnancy,oral contraceptives)and so on.Conclusion:There are many risk factors for CI in young people.It is necessary to strictly regulate their living habits,treat heart and connective tissue diseases symptomatically,and also list blood diseases and pregnancy as high-risk groups,and actively monitor them to prevent CI.