心功能分级对老年房颤患者缺血性卒中发生率的影响  

Effect of cardiac function classification on incidence of ischemic stroke in elderly patients with atrial fibrillation

作　　者：张璞[1] Zhang Pu(Internal Medicine-Cardiovascular Department,Heping Hospital Affiliated to Changzhi Medical College（Shanxi）04600)

机构地区：[1]长治医学院附属和平医院心血管内科,山西046000

出　　处：《中国社区医师》2018年第24期68-68,70,共2页Chinese Community Doctors

摘　　要：目的:探讨心功能分级对老年房颤患者缺血性卒中发生率的影响。方法:收治年龄>60岁房颤患者180例,NYHA 1～2级、NYHA 3级、NYHA 4级各60例,分别命名为C组、D组和E组。比较各组之间N末端脑钠肽原(NT-proBNP)及缺血性卒中发生率。结果:D组、E组缺血性卒中发生率分别与C组相比,差异有统计学意义(P<0.05)。3组NT-proBNP比较差异有统计学意义(P<0.05)。结论:>60岁房颤患者有较高缺血性卒中发生率,NYHA3级、4级患者较NYHA 1～2级患者的缺血性卒中和NT-proBNP值均较高。Objective：To explore the effect of cardiac function classification on incidence of ischemic stroke in elderly patients with atrial fibrillation.Methods：180 cases of patients with atrial fibrillation over 60 years old were selected,there were 60 cases of NYHA 1～2,NYHA 3 and NYHA 4 in each,they were named the C group,D group and E group.We compared the N terminal pro brain natriuretic peptide（NT-proBNP） and the incidence of ischemic stroke among the groups.Results：The incidence of ischemic stroke in the D group and the E group was significantly different from that in the C group（P〈0.05）.The difference of NT-proBNP among the three groups was statistically significant（P〈0.05）.Conclusion：Patients with atrial fibrillation above 60 years old had a higher incidence of ischemic stroke.Compared with NYHA grade 1～2 patients,there were significant differences in ischemic stroke and NT-proBNP in patients with NYHA grade 3 and 4.

关 键 词：老年房颤 心衰 缺血性卒中 NT-pro BNP 

分 类 号：R541.75[医药卫生—心血管疾病]