Risk Factors in Chinese Young Strokes

年輕腦中風患者的危險因子

賴慧貞(Huey-Jen Lay) ； 張權維(Chein-Wei Chang) ； 連倚南(I-Nan Lein)

《中華民國復健醫學會雜誌》 20期 (1992/12) Pp. 69-77

https://doi.org/10.6315/JRMA.199212.0008

摘要

年輕腦中風患者的危險因子在世界各地的分布情形並不一致。它受到環境、文化、營養、遺傳及一些尚不清楚的因素影響而有地域性的差別。此報告收集1983到1990年間，台灣大學醫學院附設醫院的住院病例共159個病患資料。這些個案都曾在15至45歲間發生第一次腦中風。收集當時的基本資料、過去病史、理學檢查及實驗室檢查結果，可以得到一資料庫。分析此資料庫，共有79位腦出血（48位男性及31位女性）及80位腦梗塞（47位男性及33位女性）。與曾經發表過的國外報告相比較，我們的腦出血比例偏高（50%比20～40%）。男性比女性又多出30%，遠與其它報告指出年輕腦中風患者男女比例約相等亦不同。可能與中國傳統社會中女主內的角色及較少因生產前後或服用口服避孕藥引起中風的影響有關。動脈硬化性梗塞及風濕性心臟病是腦梗塞的重要因子；而腦出血的主因則為高血壓。比較之下，血管畸形引起的腦出血就比國外報告要少一點。
關於預後，這些患者在住院治療後，有93%可獨立行走或只須扶持單腳拐杖即可行走。由於年輕中風患者尚可存活很久，其再發率亦較常人為高，二次中風的預防是絕對不可忽視的。

並列摘要

One hundred and fifty nine patients who experienced the first episode of stroke between 15 to 45 year-old is analyzed for possible risk factors. These patients whose diagnosis of stroke were all approved by the computerized tomography, were collected from the National Taiwan University Hospital (NTUH) from 1983 to 1990. They included 79 cases of cerebral hemorrhage (48 males and 31 females) and 80 cases of cerebral infarction (47 males and 33 females). The frequency of male stroke was about 30% higher than female. Atherothrombosis and rheumatic heart disease still dominate in cerebral infarction. The main etiology of cerebral hemorrhage in this group was hypertension. Vascular malformation was relatively rare. The ambulation rate with/without regular cane was 93%. Since the life expectance of young stroke is long, and the reattack rate is increased, secondary prevention with early detection and control of risk factors should be emphasized.

並列關鍵字

stroke in young ； stroke risk factors