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目的:探讨东营市油田职工青年及中老年不同亚型脑卒中的危险因素。方法:回顾分析412例青年脑卒中患者(青年组)和726例中老年脑卒中患者(中老年组)的临床资料,对不同年龄段、不同亚型的脑卒中危险因素进行对比分析。结果:(1)青年组:脑梗死患者吸烟、短暂性脑缺血发作(TIA)史比例高于脑出血患者(P<0.001、P=0.04),而高血压病比例低于脑出血患者(P<0.001);中老年组:脑梗死患者吸烟、冠心病、房颤、TIA史、血脂异常比例高于脑出血患者(P<0.001、P<0.001、P=0.01、P<0.001、P<0.001),而高血压病比例低于脑出血患者(P=0.01)。(2)脑梗死:青年组脑梗死患者吸烟、酗酒比例分别高于中老年组(P<0.001、P<0.001),其中青年组冠心病、房颤、TIA史、糖尿病、血脂异常比例分别低于中老年组(P=0.04、P=0.02、P=0.01、P=0.01、P<0.001);脑出血:青年组脑出血患者酗酒比例高于中老年组(P<0.001),其中青年组糖尿病、血脂异常比例分别低于中老年组(P=0.04、P=0.03)。结论:东营市油田职工青年和中老年不同亚型脑卒中危险因素有差异,及时有效地控制危险因素能有效防治脑卒中的发生。
Objective: To explore the risk factors of stroke in different subtypes of young and middle-aged and elderly workers in Dongying Oilfield. Methods: The clinical data of 412 young stroke patients (youth group) and 726 middle-aged and elderly stroke patients (middle-aged and elderly patients) were retrospectively analyzed. The risk factors of stroke were compared among different age groups and different subtypes. Results: (1) In the youth group, the proportion of smoking and transient ischemic attack (TIA) in patients with cerebral infarction was higher than those in patients with intracerebral hemorrhage (P <0.001, P = 0.04), while the proportion of hypertension was lower than that in patients with intracerebral hemorrhage (P <0.001, P <0.001, P <0.001, P <0.001); middle-aged and elderly patients: smoking, coronary heart disease, atrial fibrillation, TIA, dyslipidemia in patients with cerebral infarction were higher than those in patients with cerebral hemorrhage 0.001), while the proportion of hypertension was lower than that of cerebral hemorrhage (P = 0.01). (2) Cerebral infarction: The smoking and alcohol abuse rates of young patients with cerebral infarction were higher than those of the middle-aged and elderly patients respectively (P <0.001, P <0.001). The young patients had lower rates of coronary heart disease, atrial fibrillation, TIA, diabetes and dyslipidemia In the middle-aged and elderly group, the proportion of alcohol abuse in cerebral hemorrhage patients was higher than that of the middle-aged and elderly patients (P <0.001, P = 0.001, P = 0.01, P = Diabetes and dyslipidemia were lower than those in the middle-aged and elderly patients (P = 0.04, P = 0.03). Conclusion: The risk factors of stroke in different subtypes of workers in Dongying Oilfield are different, and controlling the risk factors in time can effectively prevent the occurrence of stroke.