青年缺血性脑卒中的病因学分型及危险因素分析  

Etiology classification and risk factors analysis of young patients with acute ischemic stroke

作　　者：唐娟[1] 张峪涵[2] 王宏[1] 张慧丽[1] 刘桂云[1] 

机构地区：[1]石河子大学医学院第一附属医院神经内科,832008 [2]新疆维吾尔自治区人民医院神经内科

出　　处：《临床神经病学杂志》2012年第6期465-466,共2页Journal of Clinical Neurology

摘　　要：目的探讨青年缺血性脑卒中病因学分型及危险因素。方法应用TOAST标准对127例青年缺血性脑卒中患者进行病因学分型,分析常见的危险因素。结果本组大动脉粥样硬化型为29.1%,心源性脑栓塞型为9.4%,小动脉闭塞型为17.3%,其他病因型为11.8%,病因不明型为32.3%;危险因素由高到低分别为血脂异常57.6%、高血压病43.1%、饮酒40.1%、吸烟35.4%、糖尿病17.2%、脑血管病家族史14.8%。结论青年缺血性脑卒中以不明原因型和大动脉粥样硬化型比例高;血脂异常、高血压病、吸烟及饮酒是常见的危险因素。Objective To explore the etiology classification and risk factors analysis in young patients with acute ischemic stroke（AIS）.Methods One hundred and twenty-seven young AIS patients were classified by TOAST criteria;the common risk factors were analyzed.Results In this group,the ratio of large artery atherosclerotic stroke was 29.1%,cardioembolism stroke was 9.4%,small-vessel occlusion was 17.3%,other determined etiology was 11.8% and unknown etiology type was 32.3%.The ratio of risk factors from high to low in order were blood lipid abnormality（57.6%）,hypertension（43.1%）,alcohol consumption（40.1%）,smoking（35.4%）,diabetes（17.2%） and family history of cerebrovascular diseases（14.8%）.Conclusions The ratio of unknown etiology and large artery atherosclerotic types in young AIS patients are higher.The common risk factore are blood lipid abnormality,hypertension,smoking and drinking.

关 键 词：青年缺血性卒中 危险因素 TOAST分型标准 

分 类 号：R743.3[医药卫生—神经病学与精神病学]