基层医院426例心房颤动临床分析  

Clinical Analysis on the Characteristics of 426 Cases of AF in the Primary Hospital

作　　者：方俊平[1] 韩忠发 杨发[1] 田江[1] 刘宏霞[1] 于新丽[1] 王喜利[1] 邱祥春[3] 

机构地区：[1]通辽市科尔沁区第一人民医院,内蒙古通辽028000 [2]木里图中心卫生院,内蒙古木里图028024 [3]内蒙古民族大学附属医院心内科,内蒙古通辽028000

出　　处：《内蒙古民族大学学报（自然科学版）》2007年第6期673-675,共3页Journal of Inner Mongolia Minzu University：Natural Sciences

摘　　要：目的：分析基层医院心房颤动住院患者的临床特点、血栓栓塞和抗凝治疗现状.方法：对2000～2006年426例心房颤动住院患者的临床资料进行回顾性分析.结果：高血压是最常见的病因156例（36.62%）,风湿性心脏病54例（12.68%）.房颤患者血栓栓塞的发生率为64例（15.02%）,其中瓣膜性房颤与非瓣膜性房颤之间差异无统计学意义;在非瓣膜性房颤中,左房的大小在栓塞组与非栓塞组差异无统计学意义.接受华法林治疗168例（43.30%）.结论：本研究提示房颤的抗凝治疗在基层医院需进一步加强.Objective：To analyze the clinical characteristics, incidence of thromboembolism and the anticoagulant therapy for patients with atrial fibrillation （AF） in the primary hospital. Methods： Selecting 426 patients with AF from 2000 to 2006 and retrospectively analyzing their clinical data. Results： The hypertension was the most common etiological factor（156 cases, 36.62 % ）. The second commonest etiological factor was rheumatic heart disease （54 eases,12.68% ）. The thromboembolism occurred in 64 patients （15.02%）, but there was no significant difference between valvular atrial fibrillation and nonvalvular atrial fibrillation;and neither was between the studied cases with stroke and those without stroke in term of mean left atrial diameter. 168 patients （43.30%） were treated with warfarin. Conclusion：The study suggests that anticoagulant therapy for patients with AF further be strengthened in the primary hospital

关 键 词：心房颤动 血栓栓塞 抗凝治疗 

分 类 号：R541.75[医药卫生—心血管疾病]