老年患者房颤并发脑卒中的临床特征及其预后  

Study on Stroke Prognosis in Elderly Patients with Atrial Fibrillation

作　　者：周向东[1] 孟繁忠[1] 郑霞荣 张弘 

机构地区：[1]中国人民解放军空军杭州疗养院,杭州310007

出　　处：《中国康复》2000年第1期20-21,共2页Chinese Journal of Rehabilitation

摘　　要：为探讨老年患者房颤并发脑卒中的临床特征和预后，将房颤并发首次脑卒中的25例老年患者列为研究对象（AF组），另选年龄、性别与AF组相匹配的脑血栓形成脑卒中患者25例为对照组，分别于脑卒中发病＞48h和治疗1个月后评估组患者的神经功能缺损程度和日常生活活动能力（ADL）。结果：入院时AF组的神经功能和ADL与对照组比较差异有显著性（P＜0．05和0．001）；1个月后AF组神经功能和ADL的恢复程度仍明显低于对照组（P＜0．01和0．001）。提示：房颤并发脑卒中的预后明显差于脑血栓形成的患者。To evaluate the prognosis of stroke in elderly patients with atrial fibrillation, the extent of cerebral infarction neurological deficits score and activities of daily living (ADL) in 25 stroke patients with atrial fibrillation (AF group) and 25 stroke patients with cerebral artery atherosclerosis (control group) were assessed. The results showed that the extent of cerebral infarction was significantly larger in AF group than in control group (P<0.05). The recovery of the neurological deficits and ADL were significantly worse in AF group than in control group (P<0.01 and 0.001, respectively). These findings suggested that the consequences of the stroke associated with AF have a worse prognosis that resulting from cerebral artery atherosclerosis.

关 键 词：心房纤颤 中风 老年人 预后 临床特征 

分 类 号：R541.7[医药卫生—心血管疾病]