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目的探讨青年脑梗死的临床特点。方法选择45岁以下脑梗死患者40例(A组),年龄30-45岁;选择同期45岁以上脑梗死患者80例作为对照(B组)。比较两组患者性别、吸烟及酗酒等不良生活方式;高血压、糖尿病及高脂血症等基础疾病;起病状态;神经系统功能评分;并发症和治疗转归;不良心理反应等指标。结果 A组男性、存在不良生活方式、不良心理反应比例高,A组静止发病、意识障碍及发生并发症、病死率低,A组神经系统功能评分低、住院时间短,与B组比较,差异有统计学意义(P<0.05)。结论青年人脑梗死具有相应临床特点,应针对病因、危险因素进行积极预防和治疗,及时进行针对性的心理支持治疗。
Objective To investigate the clinical features of young cerebral infarction. Methods Forty patients (group A) with cerebral infarction under 45 years old were selected, aged 30-45 years; 80 patients with cerebral infarction over 45 years old were selected as control group (group B). Comparing the two groups of patients with gender, smoking and alcohol abuse and other unhealthy lifestyles; hypertension, diabetes and hyperlipidemia and other underlying diseases; onset status; neurological function score; complications and treatment outcome; adverse psychological reactions and other indicators. Results A group of males had unhealthy lifestyles and a high proportion of adverse psychological reactions. Group A still developed morbidity, disturbance of consciousness and complications, and had a low case fatality rate. The score of neurological function in group A was low and hospitalization time was short. Compared with group B, There was statistical significance (P <0.05). Conclusion Young patients with cerebral infarction have the corresponding clinical features, should be based on the cause and risk factors for active prevention and treatment, timely and targeted psychological support and treatment.