中青年急性脑梗死患者的生活方式及颈动脉病变的特征分析  

The lifestyle of the young and middle-aged patients with acute cerebral infarction and the characteristics of carotid artery disease

作　　者：曾宇[1] 杨松林[1] 梁文生[1] 袁波[1] 

机构地区：[1]湖南省脑科医院神经内科,长沙410007

出　　处：《脑与神经疾病杂志》2013年第2期84-87,共4页Journal of Brain and Nervous Diseases

摘　　要：目的探讨中青年急性脑梗死(ACI)患者的生活方式及其颈动脉病变的特征。方法①小于45岁ACI患者87例为中青年组,与81例健康对照组比较,分析他们的生活方式(饮食结构,生活规律,睡眠状况,饮酒,吸烟,社会劳动性质,手机使用时间,运动时间等);②大于55岁的ACI患者95例为老年对照组,比较中青年ACI组与老年ACI对照组的颈动脉病变的特征。结果①中青年ACI患者多体型肥胖,大量吸烟,酗酒,生活无规律,以高盐,高脂注重口味饮食为主及运动量减少等;②颈动脉彩超示,中青年组患者颈动脉不稳定斑块检出率为32.18%(28/87),稳定斑块检出率21.84%(19/87),颈动脉狭窄主要为轻-中度狭窄;③老年组不稳定斑块检出率为47.37%(45/95),稳定型斑块检出率为23.16%(22/95),颈动脉狭窄主要为中-重度狭窄。结论不良生活方式是中青年脑梗死发病的重要危险因素,颈动脉病变以不稳定型斑块为主,颈动脉内径主要表现为轻-中度狭窄。Objective To study the lifestyle of young and middle -aged acute cerebral infarction （ACI） patientg and the characteristics of carotid artery disease. Methods①eompareel the 87 young and middle - aged （under 45 ） ACI patients with 81 healthy control groups and made a retrospective analysis of their lifestyle（ including diet, patterns of life, sleep, alcohol consumption, smoking, social and labor nature, mobile phone using time, exercise time, etc. ）. ②eompared the 87 young and middle - aged （under 45 years old） ACI patients with 95 elderly ACI control groups （ over 55 years old） in terms of the characteristics of carotid artery disease. Results ①Young and middle - aged ACI patients were likely to be overweight, heavy smoker and excessive drinker. They were living an irregular life with high salt and high fat food and less excise. ②Jugular artery ultrasonography showed that young and middle- aged patients had an unstable carotid plaque detection rate of 32. 18% （28/87） and stable carotid plaque detection rate of 21.84% （19/87）. They were mainly mild and moderate carotid stenosis. ③the elderly group had an unstable carotid plaque detection rate of 47.37% （45/95）and stable carotid plaque detection rate of 23.16% （22/95）. They were mainly moderate and heavy carotid stenosis. Conclusion Unhealthy lifestyles is an important risk factor of cerebral infarction among young and middle - aged people. The main clinical symptoms of carotid artery disease is unstable carotid plaque. Tne carotid stenosis is usually in a mild and moderate degree.

关 键 词：中青年人 急性脑梗死 生活方式 颈动脉彩超 

分 类 号：R743.32[医药卫生—神经病学与精神病学]