CAJ | 학술논문

目的对比分析青年(≤45岁)脑梗死与老年脑梗死(≥60岁)患者的病因及危险因素.方法回顾性分析我院2011年6月至2013年9月收治的137例脑梗死患者的临床资料,并将137例患者按年龄分为青年组(年龄≤45岁)与老年组(年龄≥60岁),对两组患者病因、危险因素进行综合比较.结果老年组高血压、糖尿病、冠心病比率明显高于青年组(P＜0.05);而青年组吸烟及高同型半胱氨酸血症比率明显高于老年组(P＜0.05).结论吸烟、高同型半胱氨酸血症是青年脑梗死患者的高危发病因素,青年脑梗死与老年脑梗死在病因及危险因素上有较大区别,临床上应引起高度重视并尽早采取合理的治疗及干预措施.
목적 대비분석청년(≤45세)뇌경사여노년뇌경사(≥60세)환자적병인급위험인소.방법 회고성분석아원2011년6월지2013년9월수치적137례뇌경사환자적림상자료,병장137례환자안년령분위청년조(년령≤45세)여노년조(년령≥60세),대량조환자병인、위험인소진행종합비교.결과 노년조고혈압、당뇨병、관심병비솔명현고우청년조(P＜0.05);이청년조흡연급고동형반광안산혈증비솔명현고우노년조(P＜0.05).결론 흡연、고동형반광안산혈증시청년뇌경사환자적고위발병인소,청년뇌경사여노년뇌경사재병인급위험인소상유교대구별,림상상응인기고도중시병진조채취합리적치료급간예조시.
Objective To compare the etiology and risk factors of cerebral infarction between young adults (≤ 45 years old) and the elderly (≥ 60 years old).Methods Clinical data of 137 cases of cerebral infarction in our hospital from June 2011 to September 2013 was retrospectively analyzed,and 137 patients were divided into youth group (age ≤ 45 years old) and elderly group (age ≥ 60 years old),the etiology and risk factors of two groups were compared.Results The incidences of hypertension,diabetes,coronary heart disease in elderly group were higher than those in youth group (P ＜ 0.05); the incidences of smoking and hyperhomocysteinemia in vouth group were higher than those in elderly group (P ＜ 0.05).Conclusion Hyperhomocysteinemia and smoking are major risk factors for cerebral infarction in youth,there is a significant difference between young adults and the elderly,and it is worth paying great attention and taking reasonable treatment and intervention as early as.possible.