162例青年急性脑血管病的临床类型及危险因素分析  

Clinical classification and risk factors analyze among 162 young patients with acute cerebrovascular diseases

作　　者：顾勤[1] 王星[1] 赵丽娟[1] 王勤鹰[1] 余敏[1] 邓冰[1] 姜嘟嘟[1] 詹青[1] 

机构地区：[1]同济大学附属同济医院神经重症监护室,上海200065

出　　处：《神经病学与神经康复学杂志》2013年第4期185-187,共3页Journal of Neurology and Neurorehabilitation

摘　　要：目的探讨青年脑卒中的临床类型与相关危险因素。方法对2007—2009年收住院的青年卒中的临床类型及相关危险因素进行调查分析。结果 162例患者中,临床类型分别为脑出血(53.70%)、脑梗死(33.95%)、蛛网膜下腔出血(11.11%)及混合性卒中(1.23%)。常见危险因素包括吸烟、高血压、高脂血症、饮酒、糖尿病与糖耐量异常、家族卒中史、心血管疾病和脑血管畸形等。结论青年脑卒中以脑出血多见,脑血管畸形是脑出血的最常见病因,吸烟、高血压和高脂血症是缺血性卒中的最常见危险因素。Objective To classify the clinical types and analyze the classical risk factors in young patients with acute cerebrovascular diseases. Methods The data of 162 young patients with acute cerebrovascular diseases were admitted in our center during 2007 to 2009,their clinical types and relevant risk factors were analyzed. Results Among 162 patients,the types of acute cerebrovascular diseases were cerebral hemorrhage( 53. 70%),ischemic stroke( 33. 95%),subarachnoid hemorrhage( 11. 11%),and mixed stroke( 1. 23%). The common risk factors included smoking,hypertension,hyperlipidemia,alcohol drinking,diabetes mellitus or abnormal glucose tolerance, family history of stroke, cardiovascular disease and cerebral vascular malformation. Conclusion Cerebral hemorrhagic stroke is more common than ischemic stroke in young patients. The cerebral vascular malformation is the most common cause of cerebral hemorrhage,while smoking,hypertension,and hyperlipidemia are the common risk factors in young patients with ischemic stroke.

关 键 词：脑卒中 中青年 危险因素 临床类型 

分 类 号：R743.3[医药卫生—神经病学与精神病学]