青年脑出血的病因及危险因素分析  

Analysis of risk factors and etiologies in young people with intracerebral hemorrhage

作　　者：徐辉[1] 赵薇[2] 方岩[1] 王遂山[1] 白宏英[3] 

机构地区：[1]河南商丘市第一人民医院神经内科,商丘476000 [2]武警黄金第一总队医院内科,哈尔滨150000 [3]郑州大学第二附属医院神经内科,郑州450014

出　　处：《中国实用神经疾病杂志》2016年第4期10-11,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨青年脑出血的危险因素及病因。方法回顾分析我院2008-01—2014-01收治的青年脑出血患者的临床资料。结果青年脑出血共779例,男性多于女性。病因从高到底依次为高血压、不明原因、血管畸形、妊娠/产褥期、瘤卒中、血液系统疾病、烟雾病和系统性红斑狼疮。危险因素为高血压、血脂异常、饮酒、心脑血管病家族史、吸烟、糖尿病和既往卒中史。18~31年龄组与32~45年龄组比,脑血管畸形发病比例明显增高（P〈0.05）。32~45年龄组与18~31年龄组比较,高血压脑出血比例明显增高（P〈0.05）。结论年龄增长脑出血比例增加,男性多于女性;高血压是主要病因,其次是脑血管畸形;高血压史、吸烟饮酒、血脂异常可能与青年脑出血有关。Objective To explore the etiologies and the risk factors of intracerebral hemorrhage（ICH）in young people.Methods We retrospectively analyzed clinical data of 779 young patients with ICH in our hospital from January 2008 to January2014.Results A total of 779 young patients suffered ICH and men were more than women.The etiologies were displayed from high to low as follows：hypertension,unknown-causes,vascular malformations,pregnancy or in the puerperium,blood system diseases,tumor apoplexy,moyamoya disease and systemic lupus erythematosus.Risk factors included hypertension,alcohol consumption,family history of cerebrovascular disease,smoking,lipid disorder and history of stroke.The rate of vascular malformations in 18-31 age group was higher than that in 32-45 age group（P〈0.05）.Patients in the 32-45 age group had higher rate of hypertension-induced hemorrhage than those in 18-31 age group（P〈0.05）.Conclusion The rate of hemorrhage may increase as age goes by and hemorrhage affects men more than women.The main reason may be hypertension and the second may be vascular malformation.History of hypertension,smoking/alcohol consumption and lipid disorder may be associated with ICH in young people.

关 键 词：青年 脑出血 病因 危险因素 

分 类 号：R743.34[医药卫生—神经病学与精神病学]