Analyses On Risk Factors And Prognosis Of Young Stroke And Old Stroke

Objective: Compare the difference of risk factors and prognosis beween young and old patients with stroke and provide a basis for clinical treatment and prevention.Methods: One hunderd and fifty stroke patients under 45 years and over 45 years which have complete information was respectively extracted in the stroke database. Known risk factors were comparative analyzed and the patients after stroke at the sixth months and the first year were clinical followed-up.Results:The first three risk factors of young ischemic stroke are hypertension disease,smoking and alcohol abuse,followed by diabetes, hyperlipemia, unknown cause and arterial stenosis. The first three risk factors of elderly ischemic stroke are hypertension disease, hyperlipidemia and smoking, followed by alcoholism, diabetes, arterial stenosis and heart disease.The ratio of smoking in young group(38.46%) was remarkably higher than in old group(25.68% )(P=0.04).The ratio of alcohol abuse in young group(37.61%) was remarkably higher than in old group(23.85% )(P=0.025). The ratio of hyperlipidemia in young group(10.26%) was lower than in old group(28.84% )(P=0.001). The ratio of diabetes in young group(11.11%) was lower than in old group(22.01% )(P=0.027).On the other hand,alcohol was considered as a risk factor for hemorrhagic cerebrovascular diseaseas .The ratio of alcohol in young group as high as 51.51% higher than the old group 29.27%, p=0.028. Through following-up sixth months and first year after ischemic stroke ,a recovery of the young group was higher than the middle-aged group(p=0.049), whereas the proportion of disability, death and recurrence ratio of the young group was lower than the middle-aged group(p=0.022).On the hand , through following-up sixth months and first year after hemorrhagic stroke ,a recovery and the proportion of disability, death,recurrence ratio were no significant difference between the young group and the middle-aged group(p=0.578,P=0.411).Conclusion:①The risk factors of young stroke is complex and multiplicity, compares with the middle and old aged apoplexy.②The prognosis of ischemic stroke in young group was better than the elderly group.③Our proposition is reasonable diet, suitable activity, no-smoking and limited the liquor, The body and mind is balanced.