摘要
目的 探究青年脑梗死患者病情严重程度与其危险因素及病因的关系。方法 方便选取2014年9月-2017年12月60例在该院治疗脑梗死的患者作为研究对象,统计所有患者的临床资料、病因与治疗情况,分析其危险因素与病因,并对比两组患者的治疗前后的神经缺损评分与血压、血糖等指标,进行统计学分析。结果 对比男女患者的数量,男性患者38例(63.33%)明显高于女性患者22例(36.67%);对比男女患者的年龄,差异有统计学意义(P<0.05)。患者的病情以轻度、中度为主,其中神经功能缺损轻度、中度、重度与缺失,男性患者与女性患者相比,具有可比性。青年脑梗死的危险因素有高血压、糖尿病、心脏病、高血脂、脑卒中病史、饮酒、家族史,且多见于男性。所有病因中,大动脉粥样硬化型、小血管病变、多个潜在病因较多,分别为40.00%、15.00%与13.33%。60例患者中,高密度脂蛋白、低密度脂蛋白、总胆固醇、空腹血糖诊断阳性率高,分别为18例(30.00%)、4例(6.67%)、5例(8.33%)、8例(13.33%),且男性脂代谢异常较高。结论 青年脑梗死患者在入院时病情较轻,其疾病的严重程度与危险因素、病因无关,男性患者发病较高,危险因素有高血压、糖尿病等,其病因以大动脉粥样硬化型、小血管病变居多。
Objective To expLore the reLationship between the severity of iLLness in young cerebraL infarction patients and their risk factors and etioLogy.Methods From September 2014 to December 2017,60 patients with cerebraL infarction in our hospitaL were convenient seLected as the study subjects.The cLinicaL data,etioLogy and treatment of aLL patients were anaLyzed.The risk factors and causes were anaLyzed,and the two groups were compared.The neuroLogicaL deficit scores before and after treatment,bLood pressure,bLood gLucose and other indicators were statisticaLLy anaLyzed.Results The number of maLe and femaLe patients was compared.38 maLe patients(63.33%)were significantLy higher than femaLe patients 22(36.67%).The difference was statisticaLLy significant(P<0.05).The patient's condition was miLd and moderate,with neuroLogicaL deficits being miLd,moderate,severe and absent.MaLe patients were comparabLe to femaLe patients.Risk factors for cerebraL infarction in young peopLe incLude hypertension,diabetes,heart disease,hyperLipidemia,history of stroke,aLcohoL consumption,famiLy history,and more common in men.Among aLL the causes,aortic atheroscLerosis,smaLL vesseL disease,and many potentiaL causes were 40.00%,15.00%,and 13.33%,respectiveLy.Among the 60 patients,high-density Lipoprotein,Low-density Lipoprotein,totaL choLesteroL,and fasting bLood gLucose were positive in 18 cases(30.00%),4 cases(6.67%),5 cases(8.33%),and 8 cases(13.33%),and maLe Lipid metaboLism is abnormaLLy high.Conclusion Young patients with cerebraL infarction have miLder disease at admission.The severity of the disease is not reLated to risk factors and causes.The incidence of maLe patients is high.The risk factors incLude hypertension and diabetes.Most of the Lesions causes are Large atheroscLerosis and smaLL bLood vesseLs.
作者
梁莉
张兆
LIANG Li;ZHANG Zhao(Department of NeuroLogy,First PeopLe's HospitaL of Qinzhou,Guangxi(the 10th Affiliated Hospital of Guangxi Medical University),Qinzhou,Guangxi,535000 China;Department of NeuroLogy,Nanning First PeopLe's HospitaL(the Fifth AffiLiated HospitaL of Guangxi MedicaL University),Nanning,Guangxi,530022 China)
出处
《中外医疗》
2019年第29期7-9,13,共4页
China & Foreign Medical Treatment
基金
ABCD3评分法联合3D-ASL预测短暂性脑缺血发作后早期脑梗死风险的临床研究(20173021-1)
广西钦州地区青年脑梗死发病规律的前瞻性研究(Z2015286)
急性脑梗死患者预后与血清N端脑钠钛前体和血压变异性相关性的临床研究(Z2016137)
关键词
青年脑梗死
病情
严重程度
危险因素
病因
Young cerebraL infarction
Condition
Severity
Risk factors
EtioLogy
