青年缺血性卒中患者血压研究

摘要

Objective:To investigate the characteristics of blood pressure in young adults with ischemic stroke.Methods:624 patients with ischemic stroke in Mianyang Central Hospital from 2013-02 to 2014-02 were divided young group( age≤44 years) 172 cases of ischemic apoplexy and the elderly group(age>60 years) 452 cases of ischemic stroke;and in each group were divided into hypertension group and non hypertension group again.Measured 24 hours ambulatory blood pressure, Blood lipid,glycosylated hemoglobin,homocysteine and other biochemical indicators, and collected the age,gender,smoking history,diet and other epidemiological data.Results:Hypertension was an important risk factor in young patients with ischemic stroke.The more risk factors in young patients with ischemic stroke were unhealthy life style.Hypertensive patients had mainly with the diastolic high blood pressure, men more than women and mainly had nocturnal elevated blood pressure, and With salt sensitivity.Conclusion:The young adults with ischemic stroke have oneself characteritic,by which we should have the study and treatment of ischemic stroke.%目的：探讨青年缺血性卒中患者的血压特点。方法：选取绵阳市中心医院2013年2月至2014年2月收治的缺血性卒中患者624例，按照年龄分为青年（年龄≤44岁）缺血性卒中172例和老年（年龄＞60岁）缺血性卒中患者452例。分别在青年组和老年组内按照有无高血压分为合并高血压及非高血压。并测24 h动态血压，分别测血脂、糖化血红蛋白、同型半胱氨酸等生化指标及收集年龄、性别、吸烟史、饮食特点等流行病学资料。结果：高血压病为青年缺血性卒中患者的重要危险因素，青年缺血性卒中患者危险因素及不良生活方式较多，有高血压患者以舒张压升高为主，男性多于女性，血压以夜间升高为主，并具有盐敏感性。结论：青年缺血性卒中有其自身特点，应根据这些特点对缺血性卒中进行研究和治疗。