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目的探讨影响中青年脑血管病的高危因素及各危险因素之间的关系。方法总结１９９２年５月～１９９７年１０月间２８２例中青年脑血管病病人的有关资料，应用Ｌｏｇｉｓｔｉｃ回归模型分析各种危险因素在中青年脑血管病发病中的作用及相互关系。结果单因素分析显示，高血压、酗酒、心脏病史、脑血管病家族史、高血脂、糖尿病、超体重、脑动脉炎、先天性血管畸形以及职业、性别均有统计学意义。但多因素分析显示，位于前三位的危险因素是高血压、酗酒和脑血管病家族史，累积贡献率达８０．１％。且各危险因素之间相互影响，甚至互为因果。结论高血压、酗酒是引起中青年脑血管病的最大危险因素。
Objective To explore the risk factors of stroke in young and middle-aged patients and the relationship between risk factors. Methods From May 1992 to October 1997 282 cases of young and middle-aged patients with cerebrovascular disease data, the use of Logistic regression model analysis of various risk factors in the pathogenesis of young and middle-aged cerebrovascular disease and their relationship. Results Univariate analysis showed that hypertension, alcoholism, history of heart disease, family history of cerebrovascular disease, hyperlipidemia, diabetes mellitus, overweight, cerebral arteritis, congenital vascular malformation and occupational and gender were statistically significant. However, multivariate analysis showed that the top three risk factors were family history of hypertension, alcoholism and cerebrovascular disease, with a cumulative contribution rate of 80.1%. And the risk factors affect each other, and even each other causation. Conclusion Hypertension and alcohol abuse are the most important risk factors of cerebrovascular disease in middle-aged and young adults.