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目的探讨青年脑卒中患者的病因及危险因素。方法回顾性分析45例青年缺血性卒中患者的临床资料,并与33例中老年缺血性卒中资料进行比较分析。结果青年卒中组病因及危险因素依次为高血压、高血脂、动脉粥样硬化、吸烟、饮酒、高纤维蛋白原血症、高同型半胱氨酸血症,糖尿病,偏头痛,动脉夹层,卵圆孔未闭,大动脉炎。两组比较,青年组高脂血症、偏头痛、动脉夹层具有显著性统计学意义。结论青年卒中病因及危险因素与中老年组不完全相同,积极治疗高血脂症、偏头痛及动脉夹层,对青年缺血性卒中的预防意义更大。
Objective To explore the etiology and risk factors of young stroke patients. Methods A retrospective analysis of 45 cases of young patients with ischemic stroke clinical data and 33 cases of middle-aged and elderly ischemic stroke data were analyzed. Results The causes and risk factors in young stroke group were hypertension, hyperlipidemia, atherosclerosis, smoking, drinking, hyperfibrinogenemia, hyperhomocysteinemia, diabetes mellitus, migraine, arterial dissection, Open hole, aorta inflammation. Two groups, young group hyperlipidemia, migraine, arterial dissection was statistically significant. Conclusions The causes and risk factors of stroke in young people are not exactly the same as those in middle-aged and elderly patients. Active treatment of hyperlipidemia, migraine and arterial dissection have a greater preventive effect on young ischemic stroke.