关键词: 青年卒中; 危险因素; 脑梗死; 脑出血; 知晓

Abstract: Objective To find measures to prevent the young stroke through comparison of the incidence and the knowledge about stroke between Beijing and out of Beijing.Methods Total 1214 stroke patients from the 3A grade hospitals of Beijing and 1056 stroke patients from the 3A grade hospitals out of Beijing were recruited. We collected the data including age, sex,habitation, education, occupation, hypertension history, heart diseases history, diabetes history,smoking, drinking alcohol, incidence state, blood lipids, clinical diagnosis and prognosis and so on.Results 1.There were 55 and 83 young patients less than 45-year-old suffered stroke in Beijing and out of Beijing respectively. The young stroke constituent ratio in Beijing was significantly lower than that out of Beijing(4.5%vs7.9%, P <0.05).The constituent ratio in living in urban field, on the job, and male of young stroke were higher in both groups, but there were no significant difference between them(Beijing group was: 60.0%, 65.5%, 81.8%, respectively; Out of Beijing group was:63.8%, 59.0%, 69.9%, respectively, P >0.05). 2. The young stroke subtypes were ischemic stroke,intracerebral hemorrhage (ICH), transient ischemic attack (TIA)in Beijing and ischemic stroke, ICH,subarachnoid hemorrhage(SAH) out of Beijing. 3. The first three risk factors of young stroke were hypertension, smoking, drinking alcohol in both two groups. 4. More than half of the young stroke patients in two groups went to hospital in 1h after onset, but there was no significantly different between them(72.7% vs 56.6%, P >0.05)). The rates of accepting thrombolysis, beyond the time of thrombolysis and knowing as a high risk individual were no significant difference between Beijing group and out of Beijing group (9.1% vs 4.8%, P >0.05; 29.1%vs 31.3%16.9%, P >0.05; 29.1%vs16.9%, P >0.05, respectively). The death rate were 3.6% and 1.2% in Beijing and out of Beijing respectively.Conclusion 1.The higher constituent ratio is happened in male, living urban field and on the job of young stroke in two groups. 2.Hypertension, smoking and drinking are the important risk factors in both two groups. 3.The young stroke subtypes are ischemic stroke and intracerebral hemorrhage in two groups. 4.The lower death rate happens in young stroke patients in Beijing and out of Beijing.5.The young patients with stroke in two groups know a few of knowledge about stroke.

Key words: Young stroke; Risk factors; Cerebral infarction; Intracerebral hemorrhage; Knowledge