深圳市青年脑卒中340例临床分析

目的 了解深圳市青年脑卒中的致病危险因素和住院成本.方法 回顾分析深圳市中医院近10年青年脑卒中病历,分析患者的病史、检验和影像学资料以了解致病危险因素、住院费用,并用成组病例对照研究分析危险因素,依据脑卒中分类分析患者住院费用.结果 纳入340例青年脑卒中患者为试验组,317例青年非脑卒中体检者为对照组,经χ^2检验,两组高血压、血脂异常、高尿酸血症、吸烟、喝酒、熬夜、劳累、压力、动脉硬化差异有统计学意义（P＜0.05）;致病危险因素经logistic回归分析,结果显示高血压、血脂异常、高尿酸血症、吸烟、喝酒、熬夜、劳累、压力、动脉硬化是独立危险因素（P＜0.05）.经Mann-Whitney U检验,总体上中脏腑、脑出血患者比中经络、脑梗死的患者花费大,住院天数也长.结论 深圳青年脑卒中致病危险因素较多,其中高血压、血脂异常、高尿酸血症、吸烟、喝酒、熬夜、劳累、压力、动脉硬化是独立危险因素.中脏腑、脑出血花费相应比中经络、脑梗死高.

Clinical Study of 340 Young Patiens with Stroke in Shenzhen City

Objective： To understand the risk factors and hospitalization costs of youth stroke patients in Shenzhen city. Methods： Medical records of youth stroke patients in our hospital in recent 10 years were retrospectively analyzed through the patient＇s history,examination and imaging data,in order to find the risk factors and hospitalization costs. Make a grouped case-control study for the risk factors and analyze hospitalization costs based on stroke classification. Results： 340 cases of youth stroke patients were selected as experimental group, while 317 cases of non-stroke youth were considered as control group. The chi-aquare test （χ^2） showed that hypertension,dyslipidemia,high uric acid hyperlipidemia,smoking,drinking,staying up late,tiring,pressure and arteriosclerosis had significant difference between the two groups （P〈 0.05）. Pathogenic risk factors were found by logistic regression analysis. Results showed that hypertension,dyslipidemia,hyperuricemia,smoking,drinking, staying up late, tiring ,pressure ,atherosclerosis were the independent risk factors （P〈 0.05 ）. Through Mann-Whitney U test ,we found that viscera patients spent more and lived longer in hospital than meridian patients overall. Cerebral hemorrhage patients spent more than cerebral infarction patients. Conclusion： The youth in Shenzhen city has many risk factors that can cause stroke including independent risk factors such as hypertension,dyslipidemia, hyperurieemia, smoking, drinking, staying up late, tiring, pressure, and atherosclerosis. The costs of patients with viscera disease and cerebral hemorrhage are higher than those of patients with cerebral infarction.