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目的比较不同性别青年脑卒中患者的临床特征,为青年脑卒中的一、二级预防提供科学依据。方法选取青年脑卒中患者105例,回顾性分析患者的临床资料,比较不同性别青年脑卒中患者的年龄、不良生活习惯(吸烟、饮酒)、既往史(高血压病、糖尿病)以及入院相关生化检查(凝血功能、血糖、肾功能、血脂分析、肝功能)等临床特征。结果 105例中,男性80例(76.19%),女性25例(23.81%),男性脑卒中发病率高于女性(P<0.01)。男性吸烟、饮酒比例高于女性(P<0.01),尿酸和TBil水平高于女性组(P<0.01),HDL-C低于女性组(P<0.01)。结论不同性别青年脑卒中患者临床特征存在差异,临床医师应提高对青年脑卒中的认识并构建防治卒中的综合策略。
Objective To compare the clinical features of stroke patients in different sexes and provide a scientific basis for primary and secondary prevention of stroke in youth. Methods A total of 105 young stroke patients were selected. The clinical data of the patients were retrospectively analyzed. The age, bad habits (smoking and drinking), past history (hypertension, diabetes) and admission biochemical tests (Coagulation, blood glucose, renal function, blood lipid analysis, liver function) and other clinical features. Results Of the 105 cases, 80 (76.19%) were male and 25 (23.81%) were female. The incidence of stroke in men was higher than that in women (P <0.01). The prevalence of smoking and drinking in males was higher than that in females (P <0.01). The levels of uric acid and TBil in females were higher than those in females (P <0.01) and HDL-C was lower in females than in females (P <0.01). Conclusions There are differences in the clinical characteristics of stroke patients among different sexes. Clinicians should improve their understanding of stroke and establish a comprehensive strategy for stroke prevention and treatment.