永久起搏器植入术后患者房颤发生现状及高危因素调查研究  

Investigation on the current status and high-risk factors of atrial fibrillation in patients after permanent pacemaker implantation surgery

作　　者：杨宁 刘丽[1] Yang Ning;Liu Li(Cardiovascular Second Ward of Qinhuangdao First Hospital)

机构地区：[1]秦皇岛市第一医院,心血管内科121000

出　　处：《现代科学仪器》2024年第3期77-81,共5页Modern Scientific Instruments

基　　金：秦皇岛市2018年科技计划项目,项目编号:201805A171。

摘　　要：目的:探讨永久起搏器植入术后患者房颤(AF)高危因素。方法:回顾性分析永久起搏器植入术后患者的临床资料,分析永久起搏器植入术后患者AF发生的危险因素。结果:年龄大、LADs大、心房起搏-心室起搏是永久起搏器植入术后患者AF发生的独立危险因素(P<0.05)。曲线分析显示,当logit(P)>12.97时,曲线下面积(AUC)值为0.910,95%CI为0.873~0.940,χ^(2)为19.101,诊断敏感度为84.85%,特异度为87.30%。结论:永久起搏器植入术后AF发生风险较高,其独立危险因素包括年龄大、LADs大、心房起搏-心室起搏。Objective:To explore the high-risk factors of atrial fibrillation(AF)in patients after permanent pacemaker implantation surgery.Methods:Retrospective analysis of clinical data of patients after permanent pacemaker implantation surgery.The risk factors of AF in patients after permanent pacemaker implantation was analyzed.Results:Large age,large LADs,and atrial ventricular pacing were independent risk factors for AF in patients after permanent pacemaker implantation surgery(P<0.05).Display of curve analysis results showed that when logit(P)>12.97,the area under the curve(AUC)value was 0.910,95%CI was 0.873~0.940,χ^(2) was 19.101,the diagnostic sensitivity was 84.85%and the specificity was 87.30%.Conclusion:The risk of AF after permanent pacemaker implantation surgery was high,and its independent risk factors included large age,large LADs,and atrial ventricular pacing.

关 键 词：永久起搏器植入 房颤 高危因素 

分 类 号：R541.75[医药卫生—心血管疾病]