Objective To explore the clinical features and prognosis of ischemic cerebral infarction in young population,and to provide a reference for clinical prevention of cerebral infarction in young population.
Methods A total of 547 patients with ischemic cerebral infarction diagnosed between January 2008 and June 2013 were included,and the difference in clinical data and outcomes between young and old patients were retrospectively compared.
Results The 547 patients included 233 young and 314 old patients,and there were more male patients in young group.As compared to the old group,the proportion of hypertension was significantly lower in young group (51.9%,64.3%;P=0.004);while smoking (51.9%,5.7%;P=0.000) and alcoholism (53.2%,28.3%;P=0.000) were significantly higher in young group.Moreover,there were more patients with vascular malformations in young group than that in old group (7.3%,3.2%;P=0.028).And there were also more patients in young group received thrombolytic therapy and antiplatelet therapy (98.3%,86.9;P=0.000),and the prognosis of young patients was significantly better than that of old patients.
Conclusion The prognosis of young patients with ischemic stroke prognosis is relatively good,and changing bad habits would be an effective measure to prevent and reduce the occurrence of ischemic cerebral infarction in young population.
Citation：
ZHANGLi-lin. Clinical Features and Prognosis of Ischemic Cerebral Infarction in Young Population. West China Medical Journal, 2014, 29(2): 214-216. doi: 10.7507/1002-0179.20140066
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Copyright © the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
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- 1. 王光,王代第,杨方印.脑梗死患者的危险因素分析[J].中国实用神经疾病杂志,2009,12(9):42-43.
- 2. Kittner SJ.Stroke in the young:coming of age[J].Neurology,2002,59(1):6-7.
- 3. 赵文慧,胡文立,牛世芹,等.代谢综合征与中青年脑梗死及颈动脉硬化的相关性研究[J].山东医药,2008,48(14):28-30.
- 4. 全国第四次脑血管病学术会议(1995).脑卒中患者临床神经功能缺损程度评分标准[J].中华神经科志,1996,29(6):381-383.
- 5. 凌小林.老年缺血性脑梗死的危险因素分析[J].中国医师进修杂志,2013,36(10):55-57.
- 6. 范焕青.青年脑梗死发病的相关危险因素研究进展[J].实用医药杂志,2010,27(3):266-268.
- 7. 陶建青.中青年脑梗死与老年脑梗死病因及危险因素的区别分析[J].中国医师进修杂志,2013,36(7):49-51.
- 8. 周艳辉,王琦,余丹,等.中青年与老年脑梗死临床特点与危险因素分析[J].中国热带医学,2012,12(6):735-736,749.
- 9. 周亮,张伶俐.脑梗死患者血流变学观察[J].中国农村卫生,2013(5):78.
- 10. 农媛,肖海,杨叶妮.青年脑梗死112例病因及危险因素分析[J].临床荟萃,2012,27(9):775-777.
- 11. 张宙,沙瑞娟,袁慧林.青年人缺血性脑卒中147例临床分析[J].临床神经病学杂志,2003,16(5):301-302.
- 12. 孙芸,徐爱华,庄严,等.香烟烟雾对大鼠脑血管细胞黏附分子1表达及脑梗死体积的影响[J].中国动脉硬化杂志,2005,13(6):789-790.
- 13. 王丽,魏敏,刘文卫.彩超评价颈动脉硬化斑块与脑梗死的关系[J].中国误诊学杂志,2008,8(9):2062-2063.
- 14. 郝志华,王俊明,陈春彦,等.颈动脉粥样硬化斑块稳定性与脑梗死关系研究[J].中国基层医药,2012,19(6):878-879.
