青年脑梗死与老年脑梗死的危险因素及临床特点对比分析

目的分析青年和老年脑梗死患者的危险因素及临床特点,以提高预防和治疗效果。方法回顾性分析2006年1月～2008年12月在本科住院的103例青年脑梗死患者,127例老年脑梗死患者的临床资料,比较2组危险因素、梗死分型和临床表现。结果糖尿病、高同型半胱氨酸血症、吸烟和饮酒为青年脑梗死的重要危险因素,而高血压病、CRP和冠心病为老年脑梗死的重要危险因素,2组比较差别有显著性意义（P〈0.05）。结论青年与老年脑梗死患者的危险因素不同,应采取不同的预防措施。青年人脑梗死危险因素更为复杂多样,很多危险因素可以提前干预,健康的生活方式对预防本病非常重要,应加强脑血管疾病的一级预防。

The analysis of risk factors and clinical comparison in cerebral infarction between young adults and the elderly

Objective To investigate the risk factors and clinical features of youth and elderly patients with cerebral infarction, and to improve the prevention and treatment. Methods We retrospectively analyzed the clinical data of 103 young cerebral infarction patients and 127 ederly infarction patients who lived in our department from January 2007 - October 2008, and compared risk factors, sub-type of infarction and clinical manifestations. Results Diabetes, hyperhomocysteinemia, smoking and drinking were major risk factors for cerebral infarction in youth. Hypertension,CRP and coronary heart disease were the most common risk factors for cerebral infarction in the old people. The differences between the two groups were significant （P〈0. 05）. Conclusions Risk factors are significantly different between the two groups and different preventive and treatment measures should be taken. Pathogenesis of cerebral infarction among young people are complex and di verse,and many risk factors can be interfered with in advance. A healthy lifestyle for prevention of this disease is very important. Strengthening the primary prevention of cerebrovascular disease should be emphasized.