山西医药杂志
山西醫藥雜誌
산서의약잡지
Shanxi Medical Journal
2015年
17期
1979-1981
,共3页
危险因素%青年%急性缺血性卒中
危險因素%青年%急性缺血性卒中
위험인소%청년%급성결혈성졸중
Risk factors%Young adults%Acute ischemic stroke
目的:探讨青年急性缺血性卒中的危险因素。方法回顾性分析2013年1月至2015年1月于中国医科大学附属第四医院神经内科住院治疗的77例青年急性缺血性卒中患者(青年卒中组)的临床资料,随机抽取同期住院的中年急性缺血性卒中患者81例作为对照组,对危险因素进行单因素及多因素分析。结果77例青年卒中患者中男性61例(79.2%),其美国国立卫生研究院卒中量表(NHISS)评分显著高于女性患者(t=-2.267,P=0.026);有吸烟史57例(74%),与对照组差异有统计学意义(χ2=5.168,P=0.023);同型半胱氨酸水平较对照组高( t=-3.998,P=0.000);而对照组高血压病史(χ2=8.113,P=0.004)及糖尿病病史(χ2=7.788,P=0.005)较青年组高,且NHISS评分高于青年组(t=2.589,P=0.011)。结论青年卒中患者中男性居多,且男性患者的神经功能缺损症状严重于女性;吸烟史及高同型半胱氨酸可能是导致青年急性缺血性卒中的重要危险因素。
目的:探討青年急性缺血性卒中的危險因素。方法迴顧性分析2013年1月至2015年1月于中國醫科大學附屬第四醫院神經內科住院治療的77例青年急性缺血性卒中患者(青年卒中組)的臨床資料,隨機抽取同期住院的中年急性缺血性卒中患者81例作為對照組,對危險因素進行單因素及多因素分析。結果77例青年卒中患者中男性61例(79.2%),其美國國立衛生研究院卒中量錶(NHISS)評分顯著高于女性患者(t=-2.267,P=0.026);有吸煙史57例(74%),與對照組差異有統計學意義(χ2=5.168,P=0.023);同型半胱氨痠水平較對照組高( t=-3.998,P=0.000);而對照組高血壓病史(χ2=8.113,P=0.004)及糖尿病病史(χ2=7.788,P=0.005)較青年組高,且NHISS評分高于青年組(t=2.589,P=0.011)。結論青年卒中患者中男性居多,且男性患者的神經功能缺損癥狀嚴重于女性;吸煙史及高同型半胱氨痠可能是導緻青年急性缺血性卒中的重要危險因素。
목적:탐토청년급성결혈성졸중적위험인소。방법회고성분석2013년1월지2015년1월우중국의과대학부속제사의원신경내과주원치료적77례청년급성결혈성졸중환자(청년졸중조)적림상자료,수궤추취동기주원적중년급성결혈성졸중환자81례작위대조조,대위험인소진행단인소급다인소분석。결과77례청년졸중환자중남성61례(79.2%),기미국국립위생연구원졸중량표(NHISS)평분현저고우녀성환자(t=-2.267,P=0.026);유흡연사57례(74%),여대조조차이유통계학의의(χ2=5.168,P=0.023);동형반광안산수평교대조조고( t=-3.998,P=0.000);이대조조고혈압병사(χ2=8.113,P=0.004)급당뇨병병사(χ2=7.788,P=0.005)교청년조고,차NHISS평분고우청년조(t=2.589,P=0.011)。결론청년졸중환자중남성거다,차남성환자적신경공능결손증상엄중우녀성;흡연사급고동형반광안산가능시도치청년급성결혈성졸중적중요위험인소。
Objective To explore the risk factors of acute ischemic stroke in young adults .Methods We retrospectively analyzed clinical data of 77 acute ischemic stroke patients (Young group) who were treated in the Department of Neurology of the Fourth Affiliated Hospital of China Medical University from January 2013 to Jan‐uary 2015 .And 81 cases in the middle‐aged patients with acute ischemic stroke were randomly enrolled as the con‐trol group .Risk factors were analyzed by univariate and multivariate analysis .Results In 77 young stroke pa‐tients ,61 cases (79.2% ) are male ,and the NHISS score is significantly higher than female patients (t= -2.267 , P=0.026) .Fifty‐seven cases (74% ) have smoking history ,there is significant difference compared with the con‐trol group (χ2 = 5.168 , P= 0.023) .The higher homocysteine level is the control group (t= -3.998 , P=0.000) .And the control group with hypertension (χ2 = 8.113 , P= 0.004) and the history of diabetes (χ2 =7.788 ,P=0.005) compared with young group is higher ,and NHISS score is also higher (t=2.589 ,P=2.589) . Conclusion Young stroke patients are mostly male ,and the neural function defect symptoms of male patients is more serious than those of women .Smoking and homocysteine probably are the important risk factors for acute is‐chemic stroke in the young .