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目的了解奉贤区居民中青年脑卒中发病特点,为中青年脑卒中的后续研究提供科学基础和依据。方法通过奉贤区心脑监测网络,收集2011年1月1日-2013年12月31日奉贤区居民脑卒中发病5 567例,其中中青年病例811例进行分析。结果中青年脑卒中男女发病比例1.88:1,男性较女性好发(P<0.05);中青年脑卒中发病类型,缺血性脑卒中占69.67%,出血性脑卒中占28.48%,未分型脑卒中占1.85%,与老年人群相比较,中青年出血性脑卒中发病占比更高,约是前者的2倍(28.48%/14.81%);中青年脑卒中病死率12.95%,远低于老年人群的21.13%;中青年脑卒中患者的高血压患病比例高达59.07%;相较于老年人群,在吸烟、肥胖、高血脂、过量饮酒等危险因素暴露比例上,中青年人群更高,且两组人群差异有统计学意义(P<0.05)。结论奉贤区中青年脑卒中男性较女性多发,中青年脑卒中预后远好于老年人群,且中青年脑卒中发病与吸烟、肥胖、高血脂、过量饮酒关系密切,应重视生活方式以及饮食习惯的改变,加强锻炼,应加强对年轻高血压患者的干预;同时应深入对中青年人群脑卒中预后影响因素进行研究,提高患者康复率,提高患者生命质量。
Objective To understand the characteristics of middle-aged and young people’s stroke in Fengxian District and provide the scientific basis and follow-up for the follow-up study of middle-aged and young people’s stroke. Methods From January 1, 2011 to December 31, 2013, 5 567 cases of stroke in Fengxian district were collected from 829 cases of middle-aged and young patients, including 811 cases of middle-aged and young patients. Results The incidence of stroke in middle-aged and young adults was 1.88: 1, which was significantly higher in males than in females (P <0.05). The incidence of stroke in middle-aged and young adults was 69.67% in ischemic stroke, 28.48% in hemorrhagic stroke, Stroke accounted for 1.85%, compared with the elderly population, young and middle-aged hemorrhagic stroke accounted for a higher proportion of about twice the former (28.48% / 14.81%); young and middle-aged stroke mortality was 12.95% 21.13% of elderly population; stroke rate in middle-aged and young patients with hypertension as high as 59.07%; compared to the elderly population, smoking, obesity, hyperlipidemia, excessive drinking and other risk factors exposure ratio, The difference between the two groups was statistically significant (P <0.05). Conclusions The incidence of stroke in middle-aged and young people in Fengxian District is more frequent than that in women. The prognosis of stroke in middle-aged and young people is far better than that in the elderly. The incidence of stroke in middle-aged and young people is closely related to smoking, obesity, hyperlipidemia and excessive alcohol consumption. Lifestyle and eating habits To change and strengthen the exercise, we should strengthen the intervention of young hypertensive patients; at the same time, we should deeply study the influencing factors of stroke prognosis in middle-aged and young people, improve the rehabilitation rate and improve the quality of life of the patients.