青年缺血性脑卒中的病因及危险因素分析  

Analysis of the young ischemic stroke etiology and risk factors

作　　者：周敏[1] 佘子瑜[1] 梁顺波[1] 

机构地区：[1]广东省中山市人民医院神经内科,528400

出　　处：《重庆医学》2013年第23期2730-2732,共3页Chongqing medicine

摘　　要：目的探讨18～45岁青年缺血性脑卒中的病因、危险因素。方法回顾性分析106例缺血性脑卒中患者的临床资料、颈动脉超声、磁共振血管造影(MRA)、计算机断层扫描血管造影术(CTA)、数字减影血管造影(DSA)检查结果,分析患者的病因、分型,与同期同年龄组参加体检者对比发病危险因素。结果 106例患者中男性显著多于女性(P<0.05),低年龄段大动脉粥样硬化性脑梗死(LAA)、其他原因导致的脑梗死(SOE)的比例与高年龄段比较差异有统计学意义(P<0.05),分型中LAA29.2%,原因不明的脑梗死(SUE)25.4%,青年卒中组在高血压、高脂血症、吸烟、饮酒、肥胖、糖尿病、心脏病、高同型半胱氨酸方面与青年对照组比较差异有统计学意义(P<0.05)。结论大动脉粥样硬化性脑卒中、原因未明的脑卒中是青年缺血性脑卒中的主要病因,吸烟、高血压、高血脂、糖尿病、饮酒、心脏病是青年缺血性卒中的主要危险因素。Objective To investigate etiology of the 18-45years young ischemic stroke and risk factors.Methods We retrospectively analyzed clinical data of 106cases patients with ischemic stroke,carotid ultrasound,MRA,CTA,DSA results analyzed etiology,type.compared patients and the same period youth for the medical check with risk factors.Results The proportion of LAA、SOE in low ages had significant differences with high age（P0.05）.The proportion of LAA was 29.2%and the proportion of SUE was 25.4%,On hypertension,hyperlipidemia,drinking,smoking,obesity,diabetes,heart disease,high homocystine,young stroke group had significant differences with young control group（P0.05）.Conclusion Youth main cause of ischemic stroke is large artery atherosclerotic stroke and unknown cause of stroke.The main youth ischemic stroke risk factors are smoking,hypertension,hyperlipidemia,diabetes,drinking,heart disease.

关 键 词：青年 缺血性脑卒中 病因 

分 类 号：R743.3[医药卫生—神经病学与精神病学]