中国卒中杂志2019，Vol.14Issue(1)：18-22,5.DOI:10.3969/j.issn.1673-5765.2019.01.003
青年缺血性卒中患者前后循环发病相关因素研究
Etiology and Risk Factors of Anterior Versus Posterior Circulation Stroke in Young Adults
摘要
Abstract
Objective To compare the difference of etiology and risk factor between anterior and posterior circulation infarction in young adults. Methods A retrospective analysis of 678 ischemic stroke patients aged 18-55 years old in Shanghai General Hospital from August 2010 to September 2017 were conducted, to analyze the difference of clinical characteristics and TOAST etiological subtype between anterior and posterior circulation stroke in young patients. Results Of total 678 patients, 203 (29.9%) patients in posterior circulation and 475 (70.1%) in anterior circulation. The most common risk factor in the two groups was hypertension, the prevalence of hypertension was 66%in posterior circulation group and 66.8% in anterior circulation group. Multivariable logistic analysis indicated diabetes mellitus as a risk factor contributed greater in posterior circulation stroke than in anterior circulation stroke ( OR 1.569, 95% CI 1.082-2.277). Conclusions The etiology and risk factors of posterior circulation and anterior circulation stroke in young adults were similar. Diabetes mellitus as a risk factor contributed greater in posterior circulation stroke than in anterior circulation stroke.关键词
后循环/前循环/青年缺血性卒中/危险因素Key words
Posterior circulation/Anterior circulation/Young adult stroke/Risk factor引用本文复制引用
张俊芳,张雨蕾,袁飞,吴云成..青年缺血性卒中患者前后循环发病相关因素研究[J].中国卒中杂志,2019,14(1):18-22,5.基金项目
上海市第一人民医院临床创新研究团队课题(CTCCR-2018B03) （CTCCR-2018B03）
