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作 者:南岳龙[1] 木胡牙提[1] 林涛[1] 卢武红[1] 刘志强[1] 何鹏义[1]
机构地区:[1]新疆医科大学第一附属医院心脏中心,新疆乌鲁木齐830011
出 处:《新疆医科大学学报》2011年第8期787-790,共4页Journal of Xinjiang Medical University
基 金:国家自然科学基金(81060017)
摘 要:目的探讨心房颤动住院患者的病因和药物治疗情况。方法对2009年1月~2011年3月新疆医科大学第一附属医院住院的367例心房颤动患者的临床资料进行回顾性分析。结果各族别的引起房颤的病因中,汉族以高血压、冠心病为主,而哈萨克族以风湿性瓣膜病、高血压为主。高血压(P=0.022)、风湿性瓣膜病(P=0.000)、心肌病(P=0.022)在汉、哈萨克族房颤发生病因中有统计学意义。心室率控制药物以β受体阻滞剂、地高辛使用最多;本组患者85.23%接受抗血栓治疗,其中抗血小板方法(78.64%)最多。结论该地区房颤患者病因分组、药物服用与全国及国外相关资料趋势接近。风心病、冠心病、高血压病是心房颤动(atrial fibrillationAF)的主要病因。Objective To explore the pathogeny and medical treatment of atrial fibrillation(AF).MethodsThe data of 367 cases with atrial fibrillation were analyzed retrospectively.ResultsAtrial fibrillation pathogenesis and related factors statistics are hypertension(47.0%),Coro-nary heart disease(52.9%),Rheumatic valvular disease(25.9%),Hyperthyro-idism(2.3%),Idiopathic AF(2.0%),Cardiomyopathy(10.3%),Diabetes(9.7%).For those reasons caused atrial fibrillation,Hypertention and Coronary heart disease were main reasons for Hans,Therheumatic valvular disease and Hypertension were main reasons for Kazaks,Ventricular rate control drugs Beta blockers and Digoxin were used most of the Ventricular rate control drugs.85.23% of these patients had anti-thrombosis treatment.85.23% of these patients had antiplatelet treatment.ConclusionPathogenesis and treatment were similar with the other populations of china.Rheumatic heart disease,coronary heart disease,hypertension were the main causes of atrial fibrillation.
分 类 号:R541.7[医药卫生—心血管疾病]
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