Zhang G B, Huang H W, Guo W
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China.
Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2022 Aug 6;56(8):1142-1149. doi: 10.3760/cma.j.cn112150-20220104-00008.
Over the past two decades, with the improvement of living standards and the change of lifestyle, the incidence of stroke in young adults had been increasing year by year. Compared with elderly patients, young patients had a higher proportion of intracranial and subarachnoid hemorrhage. The etiologies of ischemic stroke in young patients were more diverse, with increasing risk factors such as hypertension, diabetes, smoking, alcoholism, and oral contraceptives. Due to the atypical clinical symptoms, various etiologies, the clinical inertia of the receiving physicians and the concerns about the use of statins in young stroke patients, timely diagnosis and standardized treatment are still challenging. China has been providing medical assistance to African countries for nearly 60 years. Considering the regional differences in medical level between China and Africa, in order to help Chinese medical teams to have a deep understanding of the current situation of stroke in young African adults, this paper comprehensively analyzed the epidemiology, etiology, risk factors and prevention measures of stroke in young adults, especially in Chinese and African, which could provide corresponding reference for early identification, treatment, prevention and education of stroke in young people.
在过去二十年中,随着生活水平的提高和生活方式的改变,年轻成年人中风的发病率逐年上升。与老年患者相比,年轻患者颅内出血和蛛网膜下腔出血的比例更高。年轻患者缺血性中风的病因更加多样,高血压、糖尿病、吸烟、酗酒和口服避孕药等风险因素不断增加。由于临床症状不典型、病因多样、接诊医生的临床惰性以及对年轻中风患者使用他汀类药物的担忧,及时诊断和规范治疗仍然具有挑战性。中国向非洲国家提供医疗援助已近60年。考虑到中国和非洲医疗水平的地区差异,为帮助中国医疗队深入了解非洲年轻成年人中风的现状,本文全面分析了年轻成年人,特别是中国和非洲年轻成年人中风的流行病学、病因、风险因素和预防措施,可为年轻人中风的早期识别、治疗、预防和教育提供相应参考。