青年脑卒中复发的影响因素分析

目的：探讨青年脑卒中复发的影响因素,为青年脑卒中的防治提供参考。方法：收集2007年1月-2011年6月期间在我院神经内科就诊治疗的青年脑卒中患者528例。根据随访期间是否复发分为复发组（n=112）和未复发组（n=416）。比较两组患者的临床资料情况。结果：复发组年龄高于未复发组,情绪波动阳性、经常熬夜、经常上网、高血压、高血脂、高血糖、饮酒史、心脏病史、脑卒中家族史、TIA史的比例均高于未复发组（P〈0.05）。Logistic回归分析显示婚姻状况、体育锻炼是青年脑卒中的保护因素,情绪波动、经常熬夜、经常上网、高血脂、高血压、高血糖、心脏病史、饮酒史、饮酒史、脑卒中家族史是青年脑卒中复发的独立高危因素。结论：青年脑卒中与老年脑卒中复发的影响因素有一定的差异,因此在对青年脑卒中的二级预防中除了加强血糖、血脂、血压的控制及戒酒措施外,积极加强运动锻炼,保持情绪稳定,调整心态,有利于降低复发风险,改善患者预后。

Analysizing Influence Factors of Recurrence of Stroke in Youth

Objective ：To explore the influence factors of recurrence of stroke in youth ,to provide reference for preventing stroke in youth .Methods ：528 young stroke patients who were treated in neural internal medicine department of our hospital from January 2007 to June 2011 .They were divided into relapse group （n=112） and non relapse group （n=416） according to relapse during follow-up .The clinical data were compared between two groups .Results：The age of relapse group were higher than that of non relapse group ,the ratio of mood swings’s position ,often stay up late ,often surf internet ,hypertension ,high blood fat ,high blood sugar ,drinking history ,heart disease history ,family history of stroke ,a history of TIA in relapse group were higher than those of non recurrent group （P〈0 .05） .Logistic regression analysis showed that marital status ,physical exercise were protective factors of stroke in youth ,mood swings ,often stay up late ,often surf Internet ,high blood lipids ,hypertension ,hyperglycemia ,heart disease history ,drinking history ,drinking history ,family history of stroke were independent risk factors for relapse of stroke in youth.Conclusion：The recurrence influence factors of stroke in young patients and in elderly stroke patients has some certain differences ,so in two grade prevention of stroke in youth ,blood glucose ,blood lipid ,blood pressure should be controlled in addition ,drinking measures ,strengthening exercise ,maintain emotional stability ,adjust state mind can help to reduce risk of recurrence , and improve patients’prognosis .