Clinical characteristics analysis of ischemic stroke in 75 young patients

ObjectiveTo analyze the clinical characristics of ischemic stroke in young patients, and provide the guidance in prevention and treatment of disease.

MethodsSeventy-five young patients with ischemic stroke and 80 middle-aged and old patients with ischemic stroke were divided into the young group and middle-aged and old group, respectively.The risk factors, Chinese ischemic stroke subclassification(CISS) typing, cerebral artery stenosis and prognosis in two groups were evaluated.

ResultsThe difference of gender distribution between two groups was not statistically significant(P>0.05).The incidence rates of hypertension, diabetes mellitus, hyperlipidaemia, TIA disease history in middle-aged and old group were higher than those in young group, and the incidence rates of smoking, alcoholism and hyperhomocysteinemia in middle-aged old group were lower than those in young group(P < 0.05 to P < 0.01).The large-artery atherosclerosis in young group was the main type of CISS classification(53.3%), and the difference of CISS subtype between two groups was statistically significant(P < 0.05).The anterior circulation stenosis rate in young group was higher than that in middle-aged and old group, but the posterior circulation stenosis rate in young group was lower than that in middle-aged and old group(P < 0.05).The prognosis in young group was significantly better than that in middle-aged and old group(P < 0.05).The difference of the prognosis score between two groups was statiscally siginificant(P < 0.01).

ConclusionsSmoking, alcoholism and hyperhomocysteinemia are the most common risk factors in young patients with ischemic stroke.LAA is the most common subtype of CISS.The anterior circulation stenosis is more.The short-term prognosis in young patients with ischemic stroke is better than that in middle-aged and old patients with ischemic stroke.