东营市油田职工青年与中老年患者不同脑卒中亚型危险因素的对比分析  

Comparative analysis of risk factors for different subtypes of stroke between youth and middle-aged and elderly patients for oilfield workers in Dongying

作　　者：吴德云[1] 张立功[1] 陈晓辉[1] 高宗恩[1] 刘文虎[1] WU De-yun ZHANG Li-gong CHEN Xiao-hui GAO Zong-en LIU Wen-hu(The Department of Neurology, Shengli Oilfleld Central Hospital, Dongying 257000, Chin)

机构地区：[1]胜利油田中心医院神经内科,山东东营257000

出　　处：《现代医学》2016年第9期1241-1245,共5页Modern Medical Journal

摘　　要：目的:探讨东营市油田职工青年及中老年不同亚型脑卒中的危险因素。方法:回顾分析412例青年脑卒中患者(青年组)和726例中老年脑卒中患者(中老年组)的临床资料,对不同年龄段、不同亚型的脑卒中危险因素进行对比分析。结果:(1)青年组:脑梗死患者吸烟、短暂性脑缺血发作(TIA)史比例高于脑出血患者(P<0.001、P=0.04),而高血压病比例低于脑出血患者(P<0.001);中老年组:脑梗死患者吸烟、冠心病、房颤、TIA史、血脂异常比例高于脑出血患者(P<0.001、P<0.001、P=0.01、P<0.001、P<0.001),而高血压病比例低于脑出血患者(P=0.01)。(2)脑梗死:青年组脑梗死患者吸烟、酗酒比例分别高于中老年组(P<0.001、P<0.001),其中青年组冠心病、房颤、TIA史、糖尿病、血脂异常比例分别低于中老年组(P=0.04、P=0.02、P=0.01、P=0.01、P<0.001);脑出血:青年组脑出血患者酗酒比例高于中老年组(P<0.001),其中青年组糖尿病、血脂异常比例分别低于中老年组(P=0.04、P=0.03)。结论:东营市油田职工青年和中老年不同亚型脑卒中危险因素有差异,及时有效地控制危险因素能有效防治脑卒中的发生。Objective： To investigate the risk factors of youth and middle-aged and elderly different subtypes of stroke for oilfield workers in Dongying City. Methods： The clinical data of 412 cases of young stroke patients（ youth group） and 726 cases of stroke in middle-aged and elderly patients（ middle-aged and elderly group） were retrospectively analysed,and comparative analysises of risk factors on different subtypes and different ages for stroke patients were done. Results：（ 1） Youth group： the proportions of smoking and TIA history for the patients with cerebral infarction were higher than those in cerebral hemorrhage（ P〈0. 001,P = 0. 04）,while the proportion of hypertension history was lower than the cerebral hemorrhage（ P〈0. 001）; Middle-aged and elderly group： the proportions of smoking,coronary heart disease,atrial fibrillation,TIA history,hyperlipidemia for patients with cerebral infarction were higher than the patients with cerebral hemorrhage（ P〈0. 001,P〈0. 001,P = 0. 01,P〈0. 001,P〈0. 001）,while the proportion of hypertension history was lower than the patients with cerebral hemorrhage（ P =0. 01）.（ 2） Cerebral infarction： the proportions of smoking and drinking in youth group with cerebral infarction patients were higher than those in the middle-aged and elderly group（ P〈0. 001,P〈0. 001）,while the proportions of coronary heart disease,atrial fibrillation,TIA history,diabetes,dyslipidemia in youth group were lower than those in middle-aged and elderly group（ P = 0. 04,P = 0. 02,P = 0. 01,P = 0. 01,P〈0. 001）; Cerebral hemorrhage： the proportion of intemperance for youth group patients with cerebral hemorrhage was higher than that for the middle-aged and elderly group（ P〈0. 001）,while the proportions of diabetes,dyslipidemia for youth group were lower than those for the middle-aged and elderly group（ P = 0. 04,P = 0. 03）. Conclusion： There are differences for risk factors between different subtypes in young and elderly stroke patie

关 键 词：脑卒中 危险因素 油田职工 青年 中老年 

分 类 号：R743.3[医药卫生—神经病学与精神病学]