摘要
目的调查华东医院心内科≥80岁非瓣膜病心房颤动患者临床特征及抗血栓药物治疗的情况，了解用药现状。方法调查≥80岁非瓣膜病房颤患者84例，对其危险因素等临床特征及抗血栓药物使用情况进行分析。结果非瓣膜性房颤的病因以冠心病、高血压病、肺源性心脏病、甲状腺功能亢进、孤立性房颤及扩张型心肌病为主。84例患者中，绝大多数合并多种危险因素，其中应用华法林者只有6例（7．1％），应用阿司匹林者56例（66．7％），其他抗血小板药物7例（8．3％），未应用抗血栓药物15例（17．9％）。结论高龄非瓣膜病房颤患者华法林应用率低，抗血小板药使用率高。
Objective To analyze antithrombotic therapy in patients with atrial fibrillation who were older than 80 years. Methods Antithrombotic medicines and cardiac embolic risk factors were registered and analyzed in 84 patients with non-valvular atrial fibrillation who were older than 80 years. Results Most patients had multiple embolic risk factors. Of the 84 patients, 6 were prescribed with warfarin, 56 were given aspirin, 7 were administered with other antiplatelet medicines, and 15 did not use any antithrombotic medicines. Conclusions Warfarin was prescribed only in a small proportion of senile patients with non-valvular atrial fibrillation, and aspirin was used more frequently.
出处
《老年医学与保健》
CAS
2009年第2期109-111,共3页
Geriatrics & Health Care
