摘要：目的：探讨老年人无症状脑卒中高危因素、病因、临床特点及其发病规律。方法：回顾性分析60例60～89岁的老年人患者的临床资料。分梗死和出血两型，逐次分析脑卒中的危险因素，临床特点及发病规律。结果：60例患者中脑梗死56例，脑出血4例，梗死型和出血型的病因均以高血压、高血糖、高血液粘稠度、高龄、高血脂症为最多，其它病因包括吸烟、酗酒、心房纤颤等。结论：高血压、高血糖是老年无症状脑卒中的主要原因，对老年人无症状脑卒中积极有效地进行其危险因素如：高血压、高血糖、高血脂症、吸烟、酗酒、心房纤颤等的干预，可以最大程度预防无症状性脑卒中，提高生活质量和健康水平。

    关键词: 脑卒中: 老年人

    Clinical Analysis of 60 cases Silent Stroke in old People

    SHENG Min, SUN Yong-hua

    (Shandong Zaozhuang Municipal Hospital, Shandong Zaozhuang 277102, China)

    Abstract: Objective： To discuss the high risky factors, causes of disease, clinical characteristics and pathogenesis regular rules for silent stroke of the old people. Method： Retrospectively analyzed clinical materials of 60 patients between 60 to 89 years old. Classified the patients into infarction and hemorrhage types and successively analyzed the risky factors, clinical characteristics and pathogenesis regular rules. Result： Among the 60 patients, 56 patients are cerebral infarction and 4 patients are cerebral hemorrhage. High blood pressure, hyperglycemia, high blood viscosity, venerable age and high blood lipid are the most causes for cerebral infarction and cerebral hemorrhage. Still there are other causes, including smoking, excessive drinking and auricular fibrillation etc. Conclusion： High blood pressure and hyperglycemia are the main causes for the silent stroke of old people. Actively and effectively intervening the risky factors for silent stoke of the old people, such as high blood pressure, hyperglycemia, high blood lipid, smoking, excessive drinking, auricular fibrillation etc., could prevent the silent stroke at the maximum extent and improve the life quality and health level. ......