青年脑梗死与中老年脑梗死的临床特征对比分析  

Comparison of Clinical Features of Cerebral Infarction in Young Adults and Middle-aged and Elderly Patients

作　　者：李萍[1] 李勤[1] 苏跃康 丁奇[1] LI Ping;LI Qin;SU Yue-kang;DING Qi(Gejiu People's Hospital of Yunnan Province,Gejiu,Yunnan Province,661000 China)

机构地区：[1]云南省个旧市人民医院

出　　处：《系统医学》2019年第8期38-40,共3页Systems Medicine

摘　　要：目的对比、分析青年脑梗死与中老年脑梗死患者的临床特征。方法对该院2015年5月—2017年10月收治的279例脑梗死患者的临床资料进行分析,其中青年脑梗死患者45例(青年组),中老年脑梗死患者234例(中老年组),对比两组患者的临床资料与疾病特征。结果青年组男性、女性占比68.9%和31.1%,中老年组占比52.1%和47.9%,对比差异有统计学意义(χ^2=4.2767,P<0.05);青年组发病前TIA占比11.1%,中老年组占比24.8%,对比差异有统计学意义(χ^2=4.0473,P<0.05);青年组SUE、SOE、CE占比为8.9%、11.1%、20.0%,中老年组占比为2.6%、3.4%、5.1%,对比差异有统计学意义(χ^2=4.3689、5.0271、11.9928,P<0.05);青年组高血压、酗酒、吸烟、高同型半胱氨酸血症占比为53.3%、24.4%、33.3%、13.3%,中老年组占比为30.0%、12.8%、13.7%、5.1%,对比差异有统计学意义(χ^2=9.2654、4.0680、10.4119、4.2101,P<0.05);青年组神经功能缺损轻度占比57.8%,中老年组占比29.9%,对比差异有统计学意义(χ^2=12.9830,P<0.05);青年组预后良好占比88.9%,中老年组占比74.8%,对比差异有统计学意义(χ^2=4.2463,P<0.05)。结论脑梗死患者以动脉硬化为主要病因,青年与中老年患者在临床特征方面多有相同之处,但与青年脑梗死患者相比,中老年脑梗死患者的症状严重、预后欠佳。Objective To compare and analyze the clinical features of cerebral infarction in young and middle-aged and elderly patients.Methods The clinical data of 279 patients with cerebral infarction who were admitted to our hospital between May 2015 and October 2017 were analyzed.Among them,45 patients with cerebral infarction (youth group) and 234 patients with middle cerebral infarction (middle-aged group)),Comparison of clinical data and disease characteristics between the two groups of patients.Results In the youth group,males and females accounted for 68.9% and 31.1%,and the middle-aged and elderly groups accounted for 52.1% and 47.9%,respectively.There was a significant difference (χ^2=4.276 7,P<0.05).In the young group,the pre-onset TIA accounted for 11.1%.The proportion of the elderly group was 24.8%,and the difference was significant (χ^2=4.047 3,P<0.05).The proportion of SUE,SOE and CE in the youth group was 8.9%,11.1%,20.0%,and the proportion of the middle-aged group was 2.6%.3.4%,5.1%,the difference was significant (χ^2=4.368 9,5.027 1,11.992 8,P<0.05);the youth group had hypertension,alcoholism,smoking,and high homocysteinemia accounted for 53.3%,24.4%.33.3%,13.3%,the proportion of middle-aged and elderly group was 30.0%,12.8%,13.7%,5.1%,and the difference was significant (χ^2=9.265 4,4.068 0,10.411 9,4.210 1,P<0.05);neural function in young group The proportion of defects was 57.8%,and that of middle-aged group was 29.9%.There was significant difference (χ^2=12.983 0,P<0.05).The prognosis of young group was 88.9%,and that of middle-aged group was 74.8%.Significant difference (χ^2=4.246 3,P<0.05).Conclusion Arteriosclerosis is the main cause in patients with cerebral infarction.There are many similarities in clinical characteristics between young and middle-aged patients.However,compared with young patients with cerebral infarction,middle-aged and elderly patients with cerebral infarction have severe symptoms and poor prognosis.

关 键 词：脑梗死 青年 中老年 临床特征 

分 类 号：R4[医药卫生—临床医学]