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目的分析老年与青年急性脑梗死患病危险因素,以便据此进行适当干预。方法选择25~40岁住院的急性脑梗死患者78例为青年组,60~78岁住院的急性缺血性脑梗死患者84例为老年组,分析患者急性脑梗死危险因素:高血压病、糖尿病、血脂异常、吸烟、饮酒,计算吸烟指数(支/d×吸烟年数),饮酒指数(g/d×饮酒年数)。结果青年组与老年组在糖尿病、高血压、血脂异常、吸烟指数、饮酒指数上比较有统计学意义(P<0.05);在焦虑、抑郁、焦虑+抑郁上,两组比较差异有统计学意义(P<0.05)。结论青年与老年急性脑梗死患病危险因素各有特点,青年组与吸烟、大量饮酒有关,青年组心理表现以焦虑为主,老年组则以抑郁为主。可根据各自特点进行心理、行为等干预。
Objective To analyze the risk factors of the acute cerebral infarction in the elderly and the youth in order to make proper intervention accordingly. Methods 78 patients with acute cerebral infarction who were hospitalized from 25 to 40 years old were selected as youth group. Among them, 84 patients aged 60-78 years with acute ischemic stroke were elderly. The risk factors of acute cerebral infarction were analyzed: hypertension, diabetes , Dyslipidemia, smoking, drinking, calculation of smoking index (branch / d × smoking years), alcohol index (g / d × years of drinking). Results There was a significant difference between the youth group and the elderly group in the incidence of diabetes mellitus, hypertension, dyslipidemia, smoking index and alcohol consumption index (P <0.05). There was significant difference between the two groups in anxiety, depression, anxiety and depression (P <0.05). Conclusion The risk factors of acute cerebral infarction in young and old have their own characteristics. The young group is related to smoking and heavy drinking. The mental performance of young group is mainly anxiety while that of old group is mainly depression. According to their own characteristics of psychological, behavioral and other interventions.