脑卒中患者年龄变化趋势及中青年脑卒中患者危险因素分析
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摘要
目的分析脑卒中患者年龄变化情况及中青年脑卒中的危险因素,为制订针对性的防治措施提供实践参考。方法收集2010-2013年在该院就诊的脑卒中患者2 250例,调查并统计脑卒中发病年龄变化情况及中青年脑卒中的相关临床资料。结果脑卒中的平均发病年龄为(62.7±12.8)岁,不同年份的发病年龄比较,差异无统计学意义(P>0.05)。2010年,中青年脑卒中患者平均年龄为(42.2±9.5)岁,2011年为(41.2±7.9)岁,2012年为(40.8±7.2)岁,2013年为(39.5±6.4)岁。不同年份的中青年患者患病年龄比较,差异有统计学意义(P<0.01)。不同年龄组的脑卒中患者的患病率不同,≥41~50岁为中青年脑卒中的患病率最高。动脉粥样硬化、心源性栓塞、高血压、糖尿病、血管炎、动脉瘤、动静脉畸形、血液病、肿瘤出血已成为中青年缺血性脑卒中的主要危险因素(P<0.05)。结论脑卒中的患病率随着年龄增长而增长,≥41~50岁是该病的高发期。中青年脑卒中的危险因素较多,建议对该群体定期进行体检与尽早防治。
Objective To analyze the trends of age changes in stroke patients and the risk factors of stroke in young and middle-aged people,so as to provide practical reference for the formulation of targeted prevention and treatment measures.Methods A total of 2 250 cases of stroke patients admitted to the hospital from 2010 to 2013 were collected,and the age of onset of stroke and relevant clinical data of middle-aged and young people were investigated and counted.Results the mean age of onset of stroke was(62.7±12.8)years.In 2010,the average age of stroke patients in young and middle-aged people was(42.2±9.5)years,in 2011 was(41.2±7.9)years,in 2012 was(40.8±7.2)years,in 2013 was(39.5±6.4)years.There were statistically significant differences in the age of onset between young and middle-aged patients in different years(P<0.01).The prevalence of cerebral apoplexy was different in different age groups(P<0.05),and the prevalence of cerebral apoplexy was the highest among young and middle-aged people aged 41 to 50 years.Atherosclerosis,cardiogenic embolism,hypertension,diabetes mellitus,vasculitis,aneurysms,arteriovenous malformations,blood diseases and tumor bleeding had become the main risk factors for ischemic stroke in young and middleaged people(P<0.05).Conclusion The prevalence of stroke increases with age,and the incidence of stroke is higher in 41-50 years old.There are many risk factors for stroke in middle-aged and young people,so it is suggested to carry out physical examination regularly and prevent and cure them as soon as possible.
Objective To analyze the trends of age changes in stroke patients and the risk factors of stroke in young and middle-aged people,so as to provide practical reference for the formulation of targeted prevention and treatment measures.Methods A total of 2 250 cases of stroke patients admitted to the hospital from 2010 to 2013 were collected,and the age of onset of stroke and relevant clinical data of middle-aged and young people were investigated and counted.Results the mean age of onset of stroke was(62.7±12.8)years.In 2010,the average age of stroke patients in young and middle-aged people was(42.2±9.5)years,in 2011 was(41.2±7.9)years,in 2012 was(40.8±7.2)years,in 2013 was(39.5±6.4)years.There were statistically significant differences in the age of onset between young and middle-aged patients in different years(P<0.01).The prevalence of cerebral apoplexy was different in different age groups(P<0.05),and the prevalence of cerebral apoplexy was the highest among young and middle-aged people aged 41 to 50 years.Atherosclerosis,cardiogenic embolism,hypertension,diabetes mellitus,vasculitis,aneurysms,arteriovenous malformations,blood diseases and tumor bleeding had become the main risk factors for ischemic stroke in young and middleaged people(P<0.05).Conclusion The prevalence of stroke increases with age,and the incidence of stroke is higher in 41-50 years old.There are many risk factors for stroke in middle-aged and young people,so it is suggested to carry out physical examination regularly and prevent and cure them as soon as possible.
引文
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[6]张勇,张付臣,张光云,等.基于广义相加模型的脑卒中发病环境因素分析[J].重庆工商大学学报:自然科学版,2014,31(2):43-49.
[7]鲁瑞涛,仝秀清,王淑芳,等.青年缺血性脑卒中患者不同TOAST分型病因及危险因素分析[J].临床误诊误治,2016,29(11):103-108.
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[10]杨文博,郎颖淑,杨文霞.出血性脑卒中危险因素的病例对照研究[J].西南军医,2010,12(3):485-486.
[2]中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[3]李群,陆首玲,刘尚,等.青年缺血性脑卒中相关危险因素的探讨[J].国际医药卫生导报,2015,21(16):2396-2398.
[4]赵静,姜文浩,罗艳侠.北京市某社区中老年人脑卒中患病风险调查分析[J].中国全科医学,2012,15(17):1971-1973.
[5]刘亚美,李彤.豫北地区青年缺血性脑卒中危险因素分析[J].新乡医学院学报,2017,34(4):323-326.
[6]张勇,张付臣,张光云,等.基于广义相加模型的脑卒中发病环境因素分析[J].重庆工商大学学报:自然科学版,2014,31(2):43-49.
[7]鲁瑞涛,仝秀清,王淑芳,等.青年缺血性脑卒中患者不同TOAST分型病因及危险因素分析[J].临床误诊误治,2016,29(11):103-108.
[8]秦本炅,李世锋.中青年缺血性脑卒中285例分析[J].中国实用神经疾病杂志,2016,19(10):113-114.
[9]张明,王翠兰,刘书东,等.缺血性脑卒中患者再发卒中的危险因素分析[J].山东医药,2016,56(13):83-84.
[10]杨文博,郎颖淑,杨文霞.出血性脑卒中危险因素的病例对照研究[J].西南军医,2010,12(3):485-486.