青年脑梗死与老年脑梗死病因及危险因素的比较研究

目的对比分析青年（≤45岁）脑梗死与老年脑梗死（≥60岁）患者的病因及危险因素。方法回顾性分析我院2011年6月至2013年9月收治的137例脑梗死患者的临床资料，并将137例患者按年龄分为青年组（年龄≤45岁）与老年组（年龄≥60岁），对两组患者病因、危险因素进行综合比较。结果老年组高血压、糖尿病、冠心病比率明显高于青年组（P〈0．05）；而青年组吸烟及高同型半胱氨酸血症比率明显高于老年组（P〈0．05）。结论吸烟、高同型半胱氨酸血症是青年脑梗死患者的高危发病因素，青年脑梗死与老年脑梗死在病因及危险因素上有较大区别，临床上应引起高度重视并尽早采取合理的治疗及干预措施。

The comparative study on etiology and risk factors of cerebral infarction between young adults and the elderly

Objective To compare the etiology and risk factors of cerebral infarction between young adults （ ≤ 45 years old） and the elderly （ ≥ 60 years old）. Methods Clinical data of 137 cases of cerebral infarction in our hospital from June 2011 to September 2013 was retrospectively analyzed, and 137 patients were divided into youth group （age ≤ 45 years old） and elderly group （age ≥ 60 years old）, the etiology and risk factors of two groups were compared. Results The incidences of hypertension, diabetes, coronary heart disease in elderly group were higher than those in youth group （P 〈 0.05）; the incidences of smoking and hyperhomocysteinemia in youth group were higher than those in elderly group （P 〈 0.05）. Conclusion Hyperhomocysteinemia and smoking are major risk factors for cerebral infarction in youth, there is a significant difference between young adults and the elderly, and it is worth paying great attention and taking reasonable treatment and intervention as early as possible.