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目的分析青年和老年脑梗死患者的危险因素及临床特点,以提高预防和治疗效果。方法回顾性分析2006年1月～2008年12月在本科住院的103例青年脑梗死患者,127例老年脑梗死患者的临床资料,比较2组危险因素、梗死分型和临床表现。结果糖尿病、高同型半胱氨酸血症、吸烟和饮酒为青年脑梗死的重要危险因素,而高血压病、CRP和冠心病为老年脑梗死的重要危险因素,2组比较差别有显著性意义(P<0.05)。结论青年与老年脑梗死患者的危险因素不同,应采取不同的预防措施。青年人脑梗死危险因素更为复杂多样,很多危险因素可以提前干预,健康的生活方式对预防本病非常重要,应加强脑血管疾病的一级预防。
Objective To analyze the risk factors and clinical features of young and old patients with cerebral infarction so as to improve the prevention and treatment effect. Methods The clinical data of 103 young cerebral infarction patients and 127 elderly cerebral infarction patients hospitalized in our hospital from January 2006 to December 2008 were analyzed retrospectively. The risk factors, infarction types and clinical manifestations were compared between the two groups. Results Diabetes mellitus, hyperhomocysteinemia, smoking and drinking were the important risk factors of cerebral infarction in young people. Hypertension, CRP and coronary heart disease were the important risk factors for senile cerebral infarction. There were significant differences between the two groups (P <0.05). Conclusion There are different risk factors in young and old patients with cerebral infarction. Different preventive measures should be taken. The risk factors for cerebral infarction in young people are more complex and diverse. Many risk factors can be intervened in advance. A healthy lifestyle is very important for the prevention of this disease. Primary prevention of cerebrovascular disease should be strengthened.