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目的探讨青年缺血性脑卒中的临床特点。方法比较410例中老年及50例青年缺血性脑卒中患者相关指标的差异。结果青年组男性比例为58.00%、不良生活方式78.00%、病变部位基底节区88.00%、脑卒中后抑郁36.00%高于中老年组的46.59%、43.41%、57.07%、17.80%(P<0.05);静止发病26.00%、合并意识障碍20.00%、神经系统功能评分(19.60±6.65)、住院时间(13.70±4.12)d、治疗无效/死亡4.00%低于中老年患者的74.88%、46.19%、(23.13±8.89)、(18.76±5.76)d、16.85%(P<0.05);两组危险因素差异无统计学意义(P>0.05)。结论青年人缺血性脑卒中临床比较常见,虽预后较好,但给社会、家庭带来沉重负担,应定期体检,控制危险因素,改善不良生活方式,治疗中进行针对性心理支持,促进其形成正确的认识,从而使心理、生理形成良性循环以提高治疗效果。
Objective To investigate the clinical features of young ischemic stroke. Methods To compare the difference of related indexes among 410 middle-aged and elderly patients and 50 young patients with ischemic stroke. Results The proportion of young men was 58.00% in male, 78.00% in unhealthy lifestyles, 88.00% in the basal ganglion, and 36.00% in post-stroke depression than those in middle-aged and elderly patients (46.59%, 43.41%, 57.07%, 17.80% ), Restless onset 26.00%, combined with disturbance of consciousness 20.00%, nervous system function score 19.60 ± 6.65, hospitalization time 13.70 ± 4.12 d, treatment ineffective / death 4.00% lower than 74.88%, 46.19% of middle-aged and elderly patients, (23.13 ± 8.89), (18.76 ± 5.76) d, 16.85% respectively (P <0.05). There was no significant difference between the two groups in risk factors (P> 0.05). Conclusion The clinical manifestations of ischemic stroke in young people are relatively common. Although the prognosis is good, it brings a heavy burden to society and families. Psychological support should be given to regular psychological examination, control of risk factors, improvement of unhealthy lifestyles, and targeted psychological support during treatment Form a correct understanding, so that the psychological and physical form a virtuous circle to improve the treatment effect.