目的探讨青年脑卒中的危险因素。方法选取2013—2015年汕头市中心医院收治的青年脑卒中患者120例为病例组,同期在本院门诊进行体检的正常人100例为对照组。收集两组受试者的一般资料及高血压、糖尿病、动脉粥样硬化、高脂血症发生情况,长期酗酒及吸烟情况,偏头痛史及脑卒中家族史。结果两组受试者年龄、性别、文化程度、酗酒率、吸烟率、偏头痛史阳性率、脑卒中家族史阳性率比较,差异均无统计学意义(P>0.05);病例组患者高血压、糖尿病、动脉粥样硬化、高脂血症发生率均高于对照组(P<0.05)。多因素logistic回归分析结果显示,高血压、糖尿病、动脉粥样硬化、高脂血症是青年脑卒中的危险因素(P<0.05)。结论高血压、糖尿病、动脉粥样硬化、高脂血症是青年脑卒中的危险因素。 Objective To explore the risk factors of stroke in young people. Methods A total of 120 young stroke patients admitted from Shantou Central Hospital from 2013 to 2015 were selected as the case group and 100 normal subjects from the outpatient clinic during the same period were selected as the control group. General information on both subjects was collected along with hypertension, diabetes, atherosclerosis, incidence of hyperlipidemia, chronic alcohol abuse and smoking, migraine history and family history of stroke. Results There was no significant difference in age, gender, educational level, alcohol abuse rate, smoking rate, history of migraine headaches and positive rate of family history of stroke between the two groups (P> 0.05) , Diabetes, atherosclerosis, hyperlipidemia were higher than the control group (P <0.05). Multivariate logistic regression analysis showed that hypertension, diabetes mellitus, atherosclerosis and hyperlipidemia were the risk factors for stroke in young adults (P <0.05). Conclusion Hypertension, diabetes mellitus, atherosclerosis and hyperlipidemia are the risk factors of stroke in young people.