老年综合评估与干预对高龄非瓣膜性房颤抗凝率的影响  

Effect of Comprehensive Geriatric Assessment(CGA)and Intervention on the Rate of Anti-coagulation of Elders with Nonvalvular Atrial Fibrillation

作　　者：张静[1] 侯丽萍[1] 刘金苹[1] 耿慧 缪丹[1] 马晓妍[1] 林海龙[3] 顾宇[3] ZHANG Jing HOU Li-ping LIU Jin-ping et al(Department of Geriatrics, Dalian （Municipal） Friendship Hospital, Dalian 116001, China)

机构地区：[1]大连市友谊医院老年病科,辽宁大连116001 [2]大连市老年病医院内科,辽宁大连116031 [3]大连市中心医院心内科,辽宁大连116033

出　　处：《医学与哲学（B）》2016年第10期37-40,共4页Medicine & Philosophy(B)

基　　金：2014年大连市科技计划项目;项目编号:2014E14SF153

摘　　要：探讨老年综合评估及干预对高龄非瓣膜性房颤（NVAF）华法林抗凝率的影响。入选2013年1月-2015年12月大连市友谊医院老年科住院、无抗凝治疗禁忌证的高龄NVAF患者共90例,平均年龄（83.33±2.19）岁。对全部入选患者进行华法林抗凝治疗的沟通;对不同意抗凝患者通过老年综合评估（CGA）,筛查老年综合征并进行针对性干预,定期随访追踪。3个月后重新进行CGA及华法林抗凝的沟通。比较CGA及针对性干预前后抗凝率的变化。CGA及针对性干预前后,抗凝分别为35.56%、56.67%,具有统计学差异（χ2=7.224,P〈0.05）。CGA及针对性干预可以明显提高高龄NVAF华法林抗凝治疗率。To investigate the comprehensive geriatric assessment（CGA）and intervention on the rate of warfarin anticoagulation of elders with non-valvular atrial fibrillation（NVAF）.90 elders with NVAF and without anti-coagulation contraindication who were admitted in the Geriatric Ward of our hospital from January 2013 to December 2015 with an average age of 83.33±2.19 were selected.The first step was to suggest all the selected elders to accept the anticoagulation treatment with warfarin.To those who disagreed with anticoagulant therapy,by carrying CGA,screened in the elderly syndrome and did the targeted interventions and regular follow-up.After three months we reassessed the improvements of the geriatric syndrome and suggested the elders of intervention in elderly syndrome again to accept the warfarin treatment.Finally,analyses the changes of anti-coagulation rate before and after CGA and targeted intervention.The anti-coagulation rate before and after CGA and targeted intervention shows the statistic difference（χ2=7.224,P〈0.05）with the anti-coagulation rates of 35.36%and 56.67%.CGA and targeted intervention can significantly improve the warfarin anti-coagulation rate on elders with NVAF.

关 键 词：老年综合评估 非瓣膜性房颤 高龄 

分 类 号：R459.9[医药卫生—治疗学]