Analysis On The Difference Of Risk Factors Of Cerebral Infarction Between Young And Elderly People In Qiqihaer City

Objective: To investigate the risk factors of stroke in the modern population of Qiqihar city and the risk factors of medical observation index during the hospitalization period in Qiqihar city.By observing the pathogenesis and risk factors of acute cerebral infarction and middle cerebral infarction,The main risk factors of cerebral infarction and its differences with the causes and risk factors of cerebral infarction in middle-aged and old age,in order to achieve early intervention,early detection,early prevention,for young and middle-level prevention of stroke to provide a scientific basis to reduce the incidence And to reduce the rate of disability.Methods: A total of 654 cases of primary acute cerebral infarction were enrolled in the hospital from September 2009 to September 2016 in the First Affiliated Hospital of Qiqihar Medical College.522 cases of middle cerebral infarction and 551 cases of senile cerebral infarction were studied.(Including hypertension,coronary heart disease,diabetes mellitus,thyroid dysfunction,fatty liver,blood system diseases,syphilis,HIV infection,etc.),the history of women taking contraceptives,the history of contraception,Family history(stroke,genetic disease),onset time,NIHSS score.All patients underwent tests such as head CT,MRA,blood clotting,blood clotting,blood biochemistry,thyroid function,homocysteine,uric acid,immunization test,syphilis and HIV screening,and improved electrocardiogram,cardiac ultrasound,Neck vascular ultrasound,transcranial Doppler TCD,24-hour ambulatory blood pressure monitoring and other tests.Statistical analysis was performed using SPSS20.0.The statistical description of the quantitative data was carried out using the mean / standard deviation.The statistical description of the classification data was carried out using the frequency / frequency.For the classification data,the χ2 test was used.The analysis of the influencing factors was carried out by Logistic regression.All the variables with single factor were included in the stepwise regression analysis of multivariate Logistic.The inclusion criteria were 0.05 and the exclusion criterion was 0.10.Results: This study included 654 cases of cerebral infarction in young group <45 years of age,accounting for 37.9% with an average age of 39.69 ± 2.68 years;1073 cases of 45≤age of middle-aged and elderly patients with cerebral infarction were included in this study,with an average age of 64.44 ± 10.25 years old.Comparison of young,middle-aged and elderly patients with cerebral infarction,(P <0.001),alcohol consumption(P <0.001),diabetes mellitus(P <0.001),smoking(P <0.001),alcohol consumption(P <0.001),hyperhomocysteinemia(<0.001),abnormal immune index(P <0.001)and other indicators of the differences.Multivariate logistic regression analysis showed that smoking,alcohol consumption and hyperhomocysteinemia had a high incidence in young patients with cerebral infarction and a low incidence in middle-aged and elderly patients with cerebral infarction;diabetes,hypertension and abnormal immune parameters Of the incidence in middle-aged and old cerebral infarction in the high incidence of young patients with cerebral infarction in the low incidenceConclusion: Hypertension,diabetes mellitus,history of alcohol consumption,smoking history,hyperhomocysteinemia and abnormal immune index have an effect on middle cerebral infarction and young cerebral infarction.Smoking,alcohol consumption and hyperhomocysteinemia have a high incidence in young patients with cerebral infarction,with a low incidence of morbidity in middle-aged and elderly patients with cerebral infarction;the incidence of diabetes,hypertension,and immune index abnormalities in middle-The incidence of high incidence in young patients with cerebral infarction is low.