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目的:探讨青年缺血性卒中发病的危险因素。方法:根据TOAST病因分型,将病例分为四型,同时按年龄进行分层;并对其发病危险因素进行分析。结果:卒中分型的组间危险因素分析显示高血压在小动脉卒中分型中显著增高,吸烟和血管病家族史在大动脉卒中分型中显著增高。结论:青年缺血性卒中的病因分型以原因不明性卒中和大动脉粥样硬化性卒中所占比例较高;小动脉卒中的危险因素以高血压暴露率高,在大动脉粥样硬化性卒中组以吸烟和血管病家族史暴露率高。
Objective: To explore the risk factors of young ischemic stroke. Methods: According to TOAST etiological classification, the cases were divided into four types, at the same time stratified by age; and its risk factors were analyzed. Results: The analysis of inter-group risk factors for stroke classification showed that hypertension was significantly increased in the small-artery stroke classification and family history of smoking and vascular disease was significantly increased in the aortic stroke classification. Conclusions: The causes of stroke in young patients are characterized by high prevalence of unexplained stroke and major atherosclerotic stroke, risk factors of arteriolar stroke with high exposure rate of hypertension, and high incidence of stroke in the group of major atherosclerotic stroke Smoking and vascular family history exposure rate is high.