Objective To analyze the risk factors between young and middle-aged patients and oldaged patients with hypertensive cerebral hemorrhage in the Kazakhs of Xinjiang.Methods A retrospective analysis of the 127 cases with hypertensive cerebral hemorrhage in the Xinjiang Uygur Autonomous Region people's Hospital.In addition,171 patients with non cerebral hemorrhage were selected as the control group.All the patients were divided into young and middle-aged group and old-aged group.The risk factors of two groups of hypertensive intracerebral hemorrhage were compared,and two groups of risk factors were analyzed by Logistic regression analysis.Results There were significant differences in diabetes,coronary heart disease,alcohol drinking,disease awareness,treatment compliance,systolic pressure,diastolic pressure,low-density lipoprotein (LDL),high-density lipoprotein (HDL),serum homocysteine (Hcy) and carotid atherosclerosis between the two groups (P ＜ 0.05).Logistic regression analysis showed that the independent risk factors of young and middle-aged patients with hypertensive cerebral hemorrhage in the Kazakhs of Xinjiang included alcohol drinking,treatment compliance,systolic pressure,diastolic pressure and Hcy (P ＜ 0.05),but systolic pressure,Hcy and carotid atherosclerosis were the independent risk factors of oldaged patients (P ＜ 0.05).Conclusions There were differences in the risk factors between young and middle-aged patients and old-aged patients with hypertensive cerebral hemorrhage in the Kazakhs of xinjiang,but systolic pressure and Hcy were both the independent risk factors of the two groups.