中青年与老年脑梗死临床特点与危险因素分析

比较中青年与老年人脑梗死（CI）的临床特点，分析其危险因素及与cI的关联性。方法：回顾性分析2010年1月至2012年1月，我院收治的240例脑梗死患者的病例，按年龄将其分为中青年组和老年组，每组均为120例，整理和分析各组临床资料，对比两组cI患者的临床特点，同时利用SPSSl7．0软件，采用logistic回归模型分析各cI危险因素与叫易感性间的关联性。结果：老年组IAA和SAA型为32．50％和50．83％，显著高于中青年组（P〈O．05），CE型为9．17％，显著低于中青年组（P〈0．05）；中青年组cI患者轻度和中度率为57．50％和19．17％，显著高于老年组（P〈O．05），重度率为23．33％，显著低于老年组（P〈0。05）；两组cI患者SBP、DBP、TG、FBG、BMI、FIB和LDL—c间差异达到显著水平（P〈O．05），而TC和HDL—C无显著差异（P〉O．05）；中青年组吸烟、酗酒、肥胖率显著高于老年组（P〈0．05），而高血压和糖尿病率显著低于老年组（P〈0．05）；两组cI易感性与危险因素中吸烟、饮酒、肥胖、高血压、糖尿病以及血脂异常的OR值，具有统计学意义（P〈O．05），而阳性家族史OR不具有统计学意义（P〉0．05）。结论：中青年与老年脑梗死临床特点与危险因素存在差异，应根据不同人群有针对性的制定预防和治疗方案。

The Comparison of the Clinical Features and Risk Factors between Young and Middle and Elderly Cerebral Infarction Pateints

Objective： To compare the clinical features and risk factors between young and middle and elderly cerebral infarction patients. Method： 240 cases with cerebral infarction hospitalized in our hospital from January 2010 to January 2012 were selected and divided into young and middle and elderly groups by age. The clinical features and risk factors in each group were collected and analyzed. The logistic regression model was used to analyze the relevance between the risk factors of C1 and CI susceptibility by SPSS17.0 software. Result： The rate of the LAA and SAA in the elderly was 32.50% and 50.83%, which was signifi- cantly higher than that in the young group （ P〈0.05 ）, and the rate of CE was 9.17%, which was signifi- cantly lower than that in young group （ P〈0.05 }. The rate of mild and moderate in the young group was 57. 50% and 19.17%, which was significantly higher than the older group （ P〈0.05 } and the severe rate was 23.33%, which was significantly lower than the older group （P〈0.05}. The difference of the SBP, DBP, TG, FBG, BMI, FIB and LDL-C between two groups was significant level （ P〈0.05 ） , while the difference of TC and HDL-C between the two groups had no significant （ P〉0.05 }. The rate of＇ smoking, drinking, o- besity of the young group were higher than that the older group （ P〈0.05 ）, while the rate of hypertension and diabetes was significantly lower than the older group （ P〈O. 05 ）. The OR value between the CI suscepti- bility and risk factors of smoking, drinking, obesity, hypertension, diabetes and dyslipidemia has statistical significance （ P〈0.05 ） ,. while the OR value between the CI susceptibility and risk factors of the positive family has not significant （ P〉0.05 ）. Conclusion： There＇s different in the clinical features and risk factors between young and middle and elderly cerebral infarction patients. The method of prevention and treatment for cerebral infarction shoud be accordina todifferent populations.