中青年及老年缺血性脑卒中患者的临床特点对比与分析  

A comparative analysis of clinical characteristics of the young-middle-aged and old-aged patients with ischemic stroke

作　　者：刘慧[1] 谢明[1] 

机构地区：[1]南华大学附属第一医院,衡阳421001

出　　处：《内科急危重症杂志》2013年第1期21-22,25,共3页Journal of Critical Care In Internal Medicine

摘　　要：目的:比较中青年与老年缺血性脑卒中的临床特点,以指导中青年患者的预防与治疗。方法:回顾性分析我院收治的102例中青年缺血性脑卒中患者病例资料,并与132例老年患者的相应资料对比分析。结果:与老年患者相比,中青年患者以男性为主,发病率随年龄增加而增加;吸烟、酗酒等所占比例与老年患者有显著差异(P<0.05);言语不清、头痛、恶心、呕吐、运动障碍及球麻痹等临床症状和体征与老年患者相比有显著差异(P<0.05),这可能与病变部位及范围有关;中青年组基本治愈率要明显高于老年患者(P<0.05)。结论:临床工作中应充分了解中青年脑卒中患者的临床特点,加强预防,及时治疗,以改善患者的预后和生活质量。Objective： To compare and analyze the clinical characteristics of the young-middle-aged and old-aged pa- tients with ischemic stroke in order to guide the prevention and treatment. Methods ： Clinical data of 102 young-middle-aged patients with ischemic stroke were retrospectively analyzed and compared with those of 132 cases of the elderly patients. Results ： Compared with the elderly patients, young and middle aged patients were male-dominated and the incidence of is- chemic stroke increased with age. The proportion of smoking and alcohol abuse were significantly more than those of elderly patients （P 〈 0.05 ）. There were significant difference in the clinical symptoms and signs in regard to slurred speech, headache, nausea, vomiting, dyskinesia, and bulbar paralysis （ P 〈 0.05） , which might be related to the localization and range of the lesion. The cure rate in young-middle aged group was significantly higher than that of the elderly group （ P 〈 0.05 ）. Conclusion： We should fully aware of these clinical characteristics, enforce the prevention as well as treatment to improve patients＇outcome and quality of life.

关 键 词：中青年 缺血性脑卒中 临床特点 对比 

分 类 号：R743[医药卫生—神经病学与精神病学]