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目的探讨青年脑卒中发病的危险因素及临床特点。方法 120例青年脑卒中患者为研究组,140例老年脑卒中患者为对照组。分析脑卒中发病原因及临床特点。结果发病类型上,研究组头痛发生率为56.7%,高于对照组的32.9%(P<0.05);但两组意识障碍、偏瘫发生率比较差异无统计学意义(P>0.05);研究组脑梗死、蛛网膜下腔出血发病率分别为63.3%、24.2%,高于对照组的47.9%、11.4%,差异有统计学意义(P<0.05);危险因素上,研究组家族史、嗜烟酒、血管疾病、不良生活习惯等方面所占的比例高于对照组(P<0.05);但糖尿病、心脏病、高血脂等方面所占的比例低于对照组,差异有统计学意义(P<0.05)。临床检查上,研究组甘油三酯高于对照组,收缩压低于对照组,差异有统计学意义(P<0.05)。结论家族史、嗜烟酒、血管疾病、不良生活习惯等是青年脑卒中发病的危险因素,应实施综合干预防治。
Objective To explore the risk factors and clinical features of young stroke. Methods A total of 120 young stroke patients were included in the study group and 140 elderly stroke patients as control group. Analysis of the causes of stroke and clinical features. Results The incidence of headache in study group was 56.7%, which was higher than that in control group (32.9%, P <0.05). However, there was no significant difference in the incidence of consciousness disorder and hemiplegia between the two groups (P> 0.05) The incidence rates of cerebral infarction and subarachnoid hemorrhage were 63.3% and 24.2% respectively, which were significantly higher than those of the control group (47.9% and 11.4%, respectively) (P <0.05). On the risk factors, the family history, Smoking and drinking, vascular diseases and bad habits were higher than those in the control group (P <0.05). However, the proportion of diabetes, heart disease and hyperlipemia was lower than that of the control group (the difference was statistically significant ( P <0.05). Clinical examination, the study group triglyceride higher than the control group, systolic blood pressure was lower than the control group, the difference was statistically significant (P <0.05). Conclusion Family history, addictions, alcohol and tobacco, vascular diseases and bad habits are the risk factors of stroke in young people. Comprehensive intervention should be implemented.