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目的:探讨青年脑卒中致病危险因素及预防方法。方法:将廉江市人民医院2015年1月至2016年1月收治的130例青年脑卒中患者作为研究对象,择取同期在本院住院治疗的其他患者128例作为对照,对比两组脑卒中危险因素单因素情况、生活习惯与部分生化指标。结果:两组患者年龄、性别、文化程度、偏头痛史及其脑卒中家族史的发病率比较,差异无统计学意义(P>0.05),组间高血压、糖尿病、动脉粥样硬化、高脂血症患病率比较,差异具有统计学意义(P<0.05);两组患者生活习惯中体育锻炼与常吃蔬菜水果比较,差异均无统计学意义(P>0.05),吸烟、酗酒、口味偏咸与油各项比较,差异具有统计学意义(P<0.05);组间生化指标中空腹血糖异常比较,差异具有统计学意义(P<0.05),纤维蛋白原异常、三酰甘油、总胆固醇、低高密度脂蛋白、高密度脂蛋白、肌酐、血尿酸各项指标比较,差异均无统计学意义(P>0.05)。结论:青年脑卒中是由多种危险因素共同作用的结果,加强健康教育与科学合理的生活方式不失为预防青年脑卒中的一种有效方法。
Objective: To explore the risk factors of stroke in young people and to prevent them. Methods: A total of 130 young stroke patients admitted from January 2015 to January 2016 in Lianjiang People’s Hospital were enrolled in this study. Another 128 patients admitted to our hospital during the same period were selected as control. Single factor risk factors, lifestyle and some biochemical indicators. Results: The incidence of hypertension, diabetes, atherosclerosis and hypertension in the two groups were not significantly different between the two groups in terms of age, sex, educational level, migraine history and their family history of stroke (P> 0.05) There was no significant difference between the two groups in exercise habits and fruits and vegetables (P> 0.05), smoking, alcohol abuse, (P <0.05). There was significant difference in the fasting blood glucose among biochemical indexes between groups (P <0.05), abnormal fibrinogen, triglyceride, Total cholesterol, low-density lipoprotein, high-density lipoprotein, creatinine, serum uric acid compared to the various indicators, the difference was not statistically significant (P> 0.05). CONCLUSIONS: Youth stroke is the result of a combination of risk factors. Strengthening health education and a scientific and rational life style are effective ways to prevent stroke in young people.