青年、中年及老年大动脉粥样硬化脑梗死危险因素比较分析  

Comparative Analysis of Risk Factors for Cerebral Infarction of Youth,Middle-aged and Elderly Artery Atherosclerosis

作　　者：黄成锋[1] 卢常盛[1] 黄汉宁[1] 李上华[1] 黄雄[1] 彭铁生[1] 

机构地区：[1]广东省高州市人民医院脑内科,525200

出　　处：《中国医药指南》2010年第15期170-172,共3页Guide of China Medicine

摘　　要：目的探讨青年、中年及老年大动脉粥样硬化脑梗死的危险因素,以便对各组危险因素做出针对性的干预。方法回顾性分析我院符合大动脉粥样硬化脑梗死的病例74例,分成青年组、中年组及老年组,比较其危险因素。结果青年组危险因素依次为吸烟(73.7%)、高血压(52.6%)、高脂血症(47.4%)、糖尿病(31.6%)、高同型半胱氨酸血症(26.3%)、酗酒(26.3%),中年组依次为高血压(78.9%)、高脂血症(73.7%)、糖尿病(63.2%)、吸烟(57.9%)、高同型半胱氨酸血症(36.8%)、酗酒(31.6%),老年组依次为高血压(77.8%)、高脂血症(66.7%)、糖尿病(47.2%)、高同型半胱氨酸血症(41.7%)、吸烟(25.0%)、酗酒(19.4%)。结论年轻者的危险因素与吸烟、酗酒等不良生活嗜好关系更为密切,应更注重控制各种不良生活嗜好;而年长者则以代谢因素较多,更应倡导健康的生活方式、合理饮食。Objective To study the risk factors of artery atherosclerosis cerebral infarction in youth,middle-aged and elderly,in order to make the targeted interventions. Methods We reviewed 74 cases of artery atherosclerosis our hospital diagnosed,which were divided into youth group,middle-aged group and elderly group,risk factors were compared. Results Risk factors in youth group were. smoking（73.7%）,hypertension（52.6%）, hyperlipidemia（47.4% ）,diabetes（ 31.6% ）, high homocysteine（ 26.3% ）, alcohol（ 26.3% ）, then middle-aged group were hypertension（ 78.9% ）, hyperlipidemia （73.7%）, diaries（63.2% ）, smoking（ 57.9% ）, high homocysteine （36.8%）, aicohol（ 31.6% ）, old age group were. hypertension （77.8%）, hyperlipidemia （ 66.7% ）, diabetes （47.2%）, high homocysteine （ 41.7% ）, smoking （ 25.0% ）, alcohol （ 19.4% ）. Conclusion Risk factors of the young person are closely related with smoking,alcohol and other unhealthy living habits,however,metabolic factors are risk factors in the elderly mostly. So,the young people should focus more on controlling various bad living habits; the ohl people shouhl promote a healthy lifestyle, reasonable diet.

关 键 词：大动脉粥样硬化 脑梗死 危险因素 预防干预 

分 类 号：R743.33[医药卫生—神经病学与精神病学]