86例青年人脑梗死的危险因素分析核心探究  

Core Exploration of Risk Factors Analysis of 86 Young People with Cerebral Infarction

作　　者：王丽香 李强 吕萍 周雪梅 贾文歆 WANG Li-xiang;LI Qiang;LYU Ping;ZHOU Xue-mei;JIA Wen-xin(Department of Neurology,Laigang Hospital,Shandong First Medical University,Jinan,Shandong Province,271126 China)

机构地区：[1]山东第一医科大学附属莱钢医院神经内科,山东济南271126

出　　处：《中外医疗》2020年第18期35-37,共3页China & Foreign Medical Treatment

摘　　要：目的探讨分析青年人脑梗死的危险因素。方法回顾性分析2017年1月—2018年12月该院收治的86例青年人脑梗死患者设为研究组,另外选择同时期81名健康体检的青年患者设为对照组,对两组的血压、血脂、血糖水平进行比较,并分析研究组的基本资料,病史等,分析高梗死的危险因素。结果研究组舒张压(95.17±11.05)mmHg,收缩压(165.95±49.26)mmHg和低密度脂蛋白(4.41±1.38)mmol/L均比对照组高(t=4.987、7.905、9.146,P<0.05),有高血压史、糖尿病史、高血脂史、吸烟史、酗酒史、肥胖、不良生活习惯、动脉粥样硬化的患者脑梗死率比没有这些病史的患者高(P<0.05)。结论高血压、糖尿病、高血脂、吸烟、酗酒、肥胖、不良生活习惯、动脉粥样硬化等均是青年人出现脑梗死的危险因素。因此临床在预防高梗死时要注意控制患者的血压、血脂、血糖,养成的良好的生活习惯和饮食习惯,禁烟禁酒,不熬夜,适当运动,密切监控自身的健康情况,定期体检。并且对高危的人群进行有效的干预,以预防脑梗死的发生。Objective To explore the risk factors of cerebral infarction in young people.Methods A retrospective analysis of 86 young patients with cerebral infarction treated in the hospital from January 2017 to December 2018 was set as the study group,and 81 young patients with healthy physical examination during the same period were selected as the control group,blood pressure,blood lipid,blood glucose levels were compared,and the basic data of the study group,medical history,etc.were analyzed to analyze the risk factors of high infarction.Results Diastolic blood pressure(95.17±11.05)mmHg,systolic blood pressure(165.95±49.26)mmHg,and low-density lipoprotein(4.41±1.38)mmol/L were higher in the study group than in the control group(t=4.987,7.905,9.146,P<0.05).Patients with a history of hypertension,diabetes,history of hyperlipidemia,smoking history,history of alcoholism,obesity,bad living habits,and atherosclerosis had higher rates of cerebral infarction than those without such history(P<0.05).Conclusion Hypertension,diabetes,hyperlipidemia,smoking,alcoholism,obesity,bad living habits and atherosclerosis are all risk factors for cerebral infarction in young people.Therefore,in the prevention of high infarction,we should pay attention to control the patients'blood pressure,blood lipids,blood glucose,develop good living habits and eating habits,ban smoking and alcohol,do not stay up all night,exercise appropriately,closely monitor their own health,and conduct regular physical examinations.And to carry out effective interventions in high-risk groups to prevent the occurrence of cerebral infarction.

关 键 词：青年人 脑梗死 危险因素 血压 血脂 

分 类 号：R743[医药卫生—神经病学与精神病学]