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年轻成年人中的中风:概述与非药物预防策略

Stroke in Young Adults: An Overview and Non-Pharmacological Preventive Strategies.

作者信息

Sič Aleksandar, Andrejić Nikola, Ivanović Jovana, Karadžić Ristanović Vidna, Gajić Selena, Bjelić Danka, Baralić Marko, Stojanovic Nikola

机构信息

Faculty of Medicine, University of Belgrade, Dr. Subotića Starijeg Str. 8, 11000 Belgrade, Serbia.

Neurology Clinic, University Clinical Centre of Serbia, Dr. Subotića Starijeg Str. 6, 11000 Belgrade, Serbia.

出版信息

Brain Sci. 2025 Apr 3;15(4):375. doi: 10.3390/brainsci15040375.

Abstract

Stroke is one of the most common causes of death and disability worldwide, with significant impact on both physical and cognitive health. Although strokes are less common in young adults, they still occur in this population, particularly in those with certain comorbidities, such as Autosomal Dominant Polycystic Kidney Disease (ADPKD). Despite the lack of specific guidelines for stroke prevention in young adults, certain preventive measures can be implemented. Smoking cigarettes is the most significant stroke risk factor in this group. Additionally, psychosocial stress, often exacerbated by academic, career, and financial pressures, is emerging as a modifiable risk factor for stroke in young adults. Key preventive measures include dietary changes, management of underlying health conditions, incorporating regular physical activity into daily routines, smoking cessation, and effective stress management techniques such as mindfulness-based stress reduction (MBSR) and cognitive-behavioral therapy (CBT). Promoting mental health awareness, directing public health campaigns toward young adults, educating them on recognizing stroke symptoms and administering first aid, and improving the quality of healthcare for this population all play a vital role in preventing stroke in young adults.

摘要

中风是全球最常见的死亡和残疾原因之一,对身体和认知健康都有重大影响。虽然中风在年轻人中不太常见,但仍会在这一人群中发生,尤其是在那些患有某些合并症的人身上,如常染色体显性多囊肾病(ADPKD)。尽管缺乏针对年轻人中风预防的具体指南,但仍可采取某些预防措施。吸烟是该群体中最重要的中风风险因素。此外,社会心理压力,常因学业、职业和经济压力而加剧,正成为年轻人中风的一个可改变的风险因素。关键的预防措施包括饮食改变、控制基础健康状况、将定期体育活动纳入日常生活、戒烟以及有效的压力管理技巧,如基于正念的减压疗法(MBSR)和认知行为疗法(CBT)。提高心理健康意识、针对年轻人开展公共卫生运动、教育他们识别中风症状并进行急救,以及改善这一人群的医疗保健质量,在预防年轻人中风方面都起着至关重要的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7343/12026300/bccdf0eb85c1/brainsci-15-00375-g001.jpg

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