The Young Ischemic Stroke Risk Factors Analysis

Chinese cerebrovascular morbidity is increasing year by year,which has highermortality and disability.Young stroke incidence rate is increasing year by year,which impacton the quality of youth life seriously.The present study summarizes the122inpatients ofneurology department of Daqing Longnan Hospital.Comparing the examination cases withcontrol group over the same period,the two groups evaluate the difference, such as the pastmedical history,family history,smoking and drinking,cultural level,obesity,blood lipid, bloodsugar, blood rheology,homocysteine, electrocardiogram, blood vessels or Doppler CTA.Wewill evaluate its treatment of the young stroke and the older stroke.Young stroke accountedfor9.14%of all stroke. The number of Artery atheroscleros is55, accounting for45.08%;The number of small artery occlusion is38, accounting for31.15%; The number of thecardioembolism is8, accounting for6.56%; The number of other clear cause is7,accounting for5.74%; The number of unexplained type is14, accounting for11.47%. Inthose122patients,40cases are hypertension(32.79%);32cases are hyperlipidemia(26.23%),23cases are diabetes (18.85%),21cases are smoking (17.21%),15cases arealcohol consumption (12.29%),19cases are hyperviscosity (15.57%),9cases are highhomocysteine hyperlipidemia (7.38%),10cases are congenital vascular abnormalities(8.20%),12cases are obesity (9.84%),11cases are rheumatic heart disease (9.02%),8cases are atrial fibrillation (6.56%). The number of patients who have more than two kindsof diseases is44(36.07%), The number of patients who have more than three kinds ofdiseases is17(13.93%), The122youths of the physical examination over the same periodare considered as the control group.19cases are hypertension(15.57%),18cases arehyperlipidemia(14.75%),11cases are diabetes mellitus(9.02%),10cases aresmoking(8.20%),6cases are drinking (4.92%),8cases are Hyperviscosity(6.56%),1caseis High with hyperhomocysteinemia (0.82%).2cases are congenital vascularabnormalities(1.64%),3cases are obesity(2.46%),2cases are rheumatic heartdisease(1.64%),1patient is atrial fibrillation(0.82%). The difference is statisticallysignificant(P<0.05), such as hypertension, rheumatic heart disease, highhyperhomocysteinemia, hyperviscosity, hyperlipidemia, diabetes, obesity, smoking,vascular developmental abnormalities, alcohol consumption, atrial fibrillation. The historyof hypertension is statistically significant (P<0.01). Family history of stroke in the stroke group is21cases (17.21%), which is10cases in the control group (8.20%), P=0.034.Smoking in the stroke group is21cases (17.21%), which is10cases in the control group(8.20%), P=0.034. The number of drinking history in the stroke group is15, which is6casesin the control group (4.91%), P=0.040. In the stroke group, illiteracy is8cases(6.56%),primary school education is55cases(45.08%), junior middle school education is23cases(18.85%), high school/technical school/college education is20cases(16.39%), collegeeducated is16cases(13.12%). In the control group, illiteracy is6cases(4.92%), primarycultures is41cases(33.61%), junior middle school education is26cases(21.31%), highschool/technical school/college education is22cases(18.03%), college educated is27cases(22.13%). P=0.034. The number of BMI increased in the stroke group is12(9.84%),which is3in the control group (2.46%), P=0.033. The number of Hyperlipidemia in thestroke group is39(31.97%), which is21in the control group (17.21%), P=0.021. Thenumber of Hyperviscosity in the stroke group is15(31.97%), which is11in the controlgroup (9.02%), P=0.047. The number of diabetes in the stroke group is26(23.77%), which is14in the control group (11.47%), P=0.031. The number of high with hyperhomocysteinemiain the stroke group is14(11.47%), which is5in the control group (4.10%), P=0.032. Thenumber of vascular abnormalities in the stroke group is10(8.20%), which is5in the controlgroup (4.10%), P=0.033. The number of atherosclerosis plaques in the stroke group is28(22.95%), which is11in the control group (9.02%), P=0.033. These factors arestatistically significant.The number of Exercise in the stroke group is12(9.01%), which is18in the controlgroup (14.75%), P=0.242. The number of Abnormal ECG in the stroke group is7(5.74%),which is2in the control group (1.64%), P=0.174. This has not statistical significance.To analysis the risk factors for stroke patients with multivariate logistic regression, wefind that the risk factors in descending order as follows: hypertension, hyperlipidemia,diabetes, smoking and drinking, hyperviscosaemia, P<0.05.According to the NIHSS rating scale, the P value before treatment is0.008, the P valuewith3days treatment is0.012, and the P value with7days treatment is0.002.The conclusion of this research:1. The man is more than woman in the young ischemic stroke.2. The young ischemic stroke risk factors contain hypertension, hyperlipidemia,diabetes, smoking and drinking, hyperviscosaemia, hyperviscosity, vascular abnormalities，obesity, heart disease, genetic factors. The first five factors are statistically significant. 3. After active treatment, the efficacy of young ischemic people is significantly betterthan middle-aged ischemic stroke.