青年人群脑梗死的临床特点分析

目的:探讨青年人群脑梗死的常见高危因素。方法:回顾性分析不同年龄段首发脑梗死病人197例，分析青年人群的常见脑梗死高危因素。结果:青年组病人男性比例明显高于中、老年组（P<0.01），中、老年组之间差异无统计学意义（P>0.05）；青年组病人肥胖率明显低于中、老年组（P<0.01），中、老年组之间差异无统计学意义（P>0.05）；3组吸烟、饮酒、高血压史方面差异均无统计学意义（P>0.05）。血糖和同型半胱氨酸水平两指标均为老年组最高，中年组次之，青年组最低（P<0.01）；三酰甘油和总胆固醇水平两指标均为中、老年组大于青年组（P<0.01），中、老年组差异无统计学意义（P>0.05）。结论:青年脑梗死多见于男性病人，与血压升高、抽烟、个人饮酒等因素有关。规范降压治疗，戒除不良烟酒嗜好，将有助于防范青年人群脑梗死的发生、发展。

Clinical characteristics analysis of cerebral infarction in young people

Objective:To investigate the common risk factors of cerebral infarction in young people.Methods:The clinical data of 197 patients with the first attacked cerebral infarction in different age groups were retrospectively analyzed.The relationship between young people and common risk factors of cerebral infarction was analyzed.Results:The ratio of male patients in youth group was higher than that in middle and old age groups(P<0.01),and the difference of which between middle and old age groups was not statistically significant(P>0.05).The obesity rate in youth group was lower than that in middle and old age groups(P<0.01),and the difference of which between middle and old age groups was not statistically significant(P>0.05).The differences of smoking,drinking,history of hypertension among three groups were not statistically significant(P>0.05).The levels of blood glucose and homocysteine in old age group were the highest,and which gradually decreased in middle age group and youth group(P<0.01).The levels of triglyceride and total cholesterol in middle age group and old age group were higher than those in youth group(P<0.01),and the difference of which between middle and old age groups was not statistically significant(P>0.05).Conclusions:The cerebral infarction in young people is common in male patient,which is related to the blood pressure increasing,smoking,drinking alcohol,and so on.Standardized antihypertensive therapy,quit smoking and drinking can help to prevent the occurrence and development of cerebral infarction in young people.