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目的:研究分析缺血性脑卒中患者的病因、危险因素。方法:选择2013.02-2014.02期间在我院接受治疗的76例缺血性脑卒中患者作为观察组,同时抽取同期在我院体检的76例健康者作为对照组。观察组根据年龄进一步分组:青年组(小于45岁)为34例,中老年组(大于或等于45岁)为42例,对照组根据年龄进一步分组:青年组(小于45岁)为39例,中老年组(大于或等于45岁)为37例。对比分析缺血性脑卒中的临床特点情况。结果:青年组缺血性脑卒中患者的低密度脂蛋白、甘油三酯、总胆固醇水平均明显大于对照组;载脂蛋白A、高密度脂蛋白水平明显小于对照组及中老年组,差异P<0.05有统计学意义。结论:缺血性脑卒中的主要病因是大动脉粥样硬化、脂质代谢异常,其危险因素可能是高密度脂蛋白减少。
Objective: To study the etiology and risk factors of ischemic stroke patients. Methods: 76 ischemic stroke patients treated in our hospital from February 2013 to February 2014 were selected as the observation group. Meanwhile, 76 healthy people who were examined in our hospital during the same period were selected as the control group. The observation group was further divided according to age group: 34 cases in young group (less than 45 years old), 42 cases in middle-aged and older group (45 years or older), and the control group was further divided according to age: 39 cases in young group (less than 45 years old) The middle-aged group (45 years or older) was 37 cases. Comparative analysis of ischemic stroke clinical features. Results: The levels of LDL, triglyceride and total cholesterol in the ischemic stroke group were significantly higher in the youth group than those in the control group. The levels of apolipoprotein A and high density lipoprotein in the ischemic stroke group were significantly lower than those in the control group and middle-aged and elderly patients <0.05 is statistically significant. Conclusion: The main cause of ischemic stroke is atherosclerosis, abnormal lipid metabolism, the risk factor may be the decrease of high density lipoprotein.