目的：探讨青年卒中患者的临床特点和危险因素。方法：回顾性纳入青年卒中患者146 例与同期入院 的中老年卒中患者628 例，分析2 组临床特点及主要危险因素暴露情况。结果：青年卒中组脑出血和男性患 者比例均明显高于中老年组（P＜0.05）。从危险因素的暴露率看，2 组最高的均为高血压，且差异无统计学 意义（P＞0.05）；青年卒中组吸烟、饮酒、肥胖、血脂代谢异常、高同型半胱氨酸血症、高尿酸血症的比例均明 显高于老年卒中组（均P＜0.05）。从患者对主要危险因素的干预情况看，青年卒中组高血压患者服用降压 药物比例明显偏低（P＜0.05）。结论：青年男性较女性更容易发生卒中，出血性卒中在青年中发病率明显高 于中老年；吸烟、饮酒、肥胖、血脂代谢异常、高同型半胱氨酸血症、高尿酸血症等危险因素对青年卒中的发 生影响更大；青年高血压人群不良生活方式及对降压治疗重视不够可能是导致卒中发生的原因之一。

To investigate the clinical characteristics and risk factors of young patients with stroke. Methods: A total of 146 young stroke patients and 628 elderly stroke patients hospitalized during the same time period were retrospectively enrolled in this study. Clinical characteristics and risk factors exposure of these patients were analyzed. Results: The constituent ratios of both cerebral hemorrhage and male patients in the youth group were significantly higher than those in the elderly group (P<0.05). According to the exposure percentages of risk factors, the ratio of hypertension was the highest in both groups, and there was no obvious different between the youth group and the elderly group (P>0.05). Compared to the elderly group, the youth group showed significantly higher constituent ratios of smoking, alcohol consumption, obesity, dyslipidemia, hyperhomocysteinemia and hyperuricemia (all P<0.05). Regarding interventions to risk factors, the percentage of patients taking antihypertensive drugs was significantly lower in the youth group than that in the elderly group (P<0.05). Conclusion: The risk of stroke is higher for young men than for young women. The incidence of hemorrhagic stroke is higher in young people than that in elderly people. Risk factors such as smoking, alcohol consumption, obesity, dyslipidemia, hyperhomocysteinemia and hyperuricemia have greater influence on the occurrence of stroke in the youth than in the elderly. An unhealthy lifestyle and the lack of attention to antihypertensive treatment could be some of the main causes of stroke in young people with hypertension.