青年与中老年脑卒中危险因素及预后的对比分析的中期报告.docxVIP

青年与中老年脑卒中危险因素及预后的对比分析的中期报告 摘要： 本研究旨在比较青年和中老年脑卒中患者的危险因素和预后差异。采用回顾性病例对照研究，选取2010年至2015年入院的180例脑卒中患者，其中青年组（ 50岁，n = 60）和中老年组（≥ 50岁，n = 120）。结果表明，中老年组患者的血压和血脂水平显著高于青年组（P 0.05），两组患者的糖尿病、家族史、烟草使用和饮酒史差异不显著（P 0.05）。在随访期间，中老年组患者的死亡率、残疾率和再发脑卒中率显著高于青年组（P 0.05）。多元Logistic回归分析表明，年龄、血压、血脂、糖尿病和吸烟是影响脑卒中预后的主要危险因素（P 0.05）。因此，对于脑卒中患者，严密控制危险因素，改善生活习惯，可显著降低预后不良的风险。 关键词：脑卒中；青年；中老年；危险因素；预后 Abstract: The purpose of this study was to compare the differences in risk factors and prognosis between young and middle-aged and elderly stroke patients. A retrospective case-control study was conducted, selecting 180 stroke patients admitted from 2010 to 2015, including the young group (50 years old, n=60) and the middle-aged and elderly group (≥ 50 years old, n=120). Results showed that patients in the middle-aged and elderly group had significantly higher blood pressure and blood lipid levels than those in the young group (P 0.05), while there was no significant difference in diabetes, family history, smoking and alcohol consumption between the two groups (P 0.05). During the follow-up period, the mortality, disability, and recurrent stroke rates were significantly higher in the middle-aged and elderly group than those in the young group (P 0.05). Multivariate logistic regression analysis showed that age, blood pressure, blood lipids, diabetes, and smoking were the main risk factors affecting stroke prognosis (P 0.05). Therefore, controlling risk factors and improving lifestyle habits for stroke patients can significantly reduce the risk of poor prognosis. Keywords: stroke; young; middle-aged and elderly; risk factors; prognosis.