摘要
目的分析心房纤颤住院患者的病因、临床特点和治疗现状。方法对湖南省衡阳冶金医院2006年1月—2009年12月320例心房纤颤患者的临床资料进行回顾性分析。结果心房纤颤患者中阵发性、持续性和永久性心房纤颤各占10.9%、4.8%、84.3%。高血压是最常见的病因(37.33%)、其次是冠心病(34.12%)、风湿性心瓣膜病(17.1%)。永久性心房纤颤患者46.21%心功能Ⅲ～Ⅳ级,与阵发性心房纤颤相比有较大的左房内径〔(45.36±8.34)mm:(32.96±6.54)mm,P<0.05〕和较低的射血分数〔(56.40±10.98)%:(63.36±10.23)%,P<0.05〕。心房纤颤患者血栓栓塞事件发生率为6.8%,其中风湿性心房纤颤为非风湿性心房纤颤的4.68倍。心房纤颤患者华法令应用率仅为10%。结论血栓栓塞是心房纤颤的重要并发症。心房纤颤和慢性心力衰竭互为危险因素,两者常常合并发生。
Objective To analysze the underlying diseases, the clinical charaeterisyics and the treatment of artial fibiriltation （AF） inpatients. Methods 320inpatients artial fibrillation were selected during 2006 Jananry and 2009 December in Hunan province Hengyang Yejin hospital retrospectively their clinical data. Resolts The relative prevalenees of paroxysmal, permanent, and persistent AF were 10. 9% , 408%, and84.3%. The first disease factor was hypertension （ 37. 33% ）, the second factor was coronary heart disease （34. 12% ） , the third factor was rheumatic heart disease （ 17.1% ）. The persistent AF （46. 12% ） were in class Ⅲ - Ⅳ of NYHA Compared with the paroxysmal AF, the persistent group had a significantly larger left atrial diameter （ （45.36 ±8.34） mm vs （32.96±6.54） ram, P 〈0. 053 and lower ejection fraction [ （56.40 ± 10. 98） vs （63. 36±10. 23）%, P 〈0. 05 ） . Aprior thromboembolic event occurred in 22 inpatients （6. 8% ）. Rheumatic AF embolism rate was nonrheumatic AF 4.68.32 inpatients （ 10% ） received warfarin. Conclusion Embolism is very important eompolieations of AF. AF and chronic heart failure are risk factor each other. They often consolidate.
出处
《实用心脑肺血管病杂志》
2011年第1期94-95,共2页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
心房纤颤
栓塞
抗凝
心功能
Atrial fibrillation
Embolism
Anticoagulant
Heart function
