摘要
目的分析急性肺栓塞(APE)患者并发心房颤动(AF)的危险因素。方法抽取三门峡市中心医院2018年10月至2021年4月收治的124例APE患者,记录患者AF发生情况;设计基线资料填写表,询问并记录患者相关基线资料,将可能的影响因素纳入,经Logistic回归分析找出导致APE患者并发AF的影响因素。结果124例APE患者中发生AF者23例,发生率为18.55%;APE发生AF者高血压、糖尿病、血同型半胖氨酸(Hcy)水平、尿酸(UA)水平与未发生者比较,差异有统计学意义(P<0.05);APE发生、未发生AF患者其他基线资料比较差异未见统计学意义(P>0.05)。Logistics回归分析检验结果显示,高血压、糖尿病、Hcy水平升高、UA水平升高是APE患者并发AF的影响因素(OR>1,P<0.05)。结论APE患者并发AF受高血压、糖尿病、Hcy水平升高、UA水平升高影响。
Objective To analyze the risk factors of atrial fibrillation(AF)in patients with acute pulmonary embolism(APE).Methods A total of 124 patients with APE treated in Sanmenxia Central Hospital from October 2018 to April 2021 were selected,and the occurrence of AF was recorded.The baseline data filling table was designed,and the relevant baseline data of patients was queried and recorded.The possible influencing factors were included,and the influencing factors leading to AF in patients with APE were found by Logistic regression analysis.Results Among 124 patients with APE,23 cases had AF,with an incidence of 18.55%.There were significant differences in hypertension,diabetes,blood homocysteine(Hcy)level and uric acid(UA)level between APE patients with or without AF(P<0.05).There was no significant difference in other baseline data between APE patients with or without AF(P>0.05).The results of Logistics regression analysis showed that hypertension,diabetes,elevated Hcy level and elevated UA level were the influencing factors of AF in APE patients(OR>1,P<0.05).Conclusions APE patients complicated by AF are affected by hypertension,diabetes,elevated Hcy level and elevated UA level.
作者
邱亚林
李丽
Qiu Yalin;Li Li(Department of Emergency,Sanmenxia Central Hospital,Sanmenxia 472000,China;Department of Cardiology,Sanmenxia Central Hospital,Sanmenxia 472000,China)
出处
《中国实用医刊》
2021年第24期62-65,共4页
Chinese Journal of Practical Medicine
关键词
肺栓塞
心房颤动
高血压
糖尿病
血同型半胖氨酸
尿酸
Pulmonary embolism
Atrial fibrillation
Hypertension
Diabetes mellitus
Blood homocysteine
Uric acid
