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目的观察青年脑梗死的临床特点,并对病因进行分析。方法 31例青年脑梗死患者作为青年组,同期30例中老年脑梗死患者作为中老年组,对两组的临床特点进行观察比较,并对病因进行分析。结果青年组初发脑梗死较为常见,与中老年组比较,差异有统计学意义(P<0.05)。中老年组动脉粥样硬化、心源性、血管炎发生率与青年组比较,差异有统计学意义(P<0.05)。结论青年脑梗死致死致残率高,主要为不良的生活习惯所致,以健康教育的方式改善患者生活习惯,调节饮食结构,提倡进行运动是该病防治的关键所在。
Objective To observe the clinical features of young cerebral infarction and analyze the etiology. Methods Thirty-one patients with acute cerebral infarction were selected as the youth group and 30 middle-aged and elderly patients with cerebral infarction as the middle-aged and elderly patients. The clinical characteristics of the two groups were observed and compared, and the etiology was analyzed. Results Primary cerebral infarction in young group was more common than that in middle-aged and elderly group (P <0.05). The incidence of atherosclerosis, cardiogenic and vasculitis in middle-aged and elderly patients was significantly higher than that in youth group (P <0.05). Conclusion The morbidity of death caused by cerebral infarction in young people is high, mainly due to unhealthy habits. Improving the living habits of the patients by means of health education, adjusting the diet structure and advocating the exercise are the key points to prevent and cure the disease.