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目的探讨青年与中老年脑梗死患者的临床特征。方法回顾性分析2006年1月-2010年1月收治的280例脑梗死患者的临床资料,比较青年组及中老年组患者在性别构成、危险因素、脑梗死分型、神经系统功能评分、死亡例数等方面上的差异。结果 280例脑梗死患者中青年脑梗死40例(14.29%);与中老年组比较青年组女性比例低、危险因素中吸烟/饮酒比例高、脑梗死分型以小梗死为主、神经系统功能评分低、病死数低(P<0.05)。结论青年脑梗死患者近年来有明显的上升和年轻化趋势,与老年脑梗死在临床特点及病因学等方面有许多不同,病因复杂多样,应通过戒烟、限酒改变不良生活方式,做好一级预防工作,并对长期干预高危人群进行筛查,对减少青年人脑梗死的发生具有重大意义。
Objective To investigate the clinical features of young and middle-aged patients with cerebral infarction. Methods The clinical data of 280 patients with cerebral infarction admitted from January 2006 to January 2010 were retrospectively analyzed. The differences of gender, risk factors, classification of cerebral infarction, nervous system function score, death among young patients and middle-aged patients were compared The number of cases and other differences. Results Among 280 patients with cerebral infarction, 40 (14.29%) had cerebral infarction. Compared with the middle-aged and elderly groups, the proportion of women in the youth group was low, the risk of smoking / drinking was high, and the infarction type was mainly small infarction. The neurological function Low scores, low mortality (P <0.05). Conclusion There are obvious rising and rejuvenating trend of young patients with cerebral infarction in recent years. There are many differences between them in the clinical features and etiology of senile cerebral infarction. The causes are complex and diverse. One way to change the unhealthy life style is to stop smoking, Level prevention work, and screening long-term high-risk populations for screening, to reduce the incidence of cerebral infarction in young people is of great significance.