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目的探讨高血压患者心房颤动(房颤)患者的相关危险因素,旨在降低心房颤动的发生率。方法选择罗山县人民医院352例高血压住院患者,根据是否在住院期间发生房颤分为A(高血压合并房颤患者,106例)、B(高血压无房颤患者,246例)两组,对两组患者进行一般资料及体格、实验室、心电图、心脏彩超检查,对两组患者的各项检查结果进行记录比较,并对高血压合并房颤的危险因素进行分析。结果 A组平均年龄、BMI指数、心功能各分级例数、脑血管病发病率、三酰甘油、总胆固醇、低密度脂蛋白胆固醇、左心室收缩末期左心房内径(LAD)、左心室射血分数(LVEF)及左心室重量(LVM)指数与B组患者比较差异具有统计学意义(P<0.05)。将以上各项数据进行logistic回归分析发现,患者的年龄、LAD、LVM指数为高血压患者合并房颤的独立危险因素(P<0.05)。结论患者的年龄、LAD、LVM指数为高血压患者合并房颤的独立危险因素,早期对上述因素采取相关的干预措施可在一定程度上降低房颤的发生率。
Objective To investigate the risk factors of atrial fibrillation in patients with hypertension and to reduce the incidence of atrial fibrillation. Methods A total of 352 hypertensive inpatients with Luoshan County People’s Hospital were enrolled in this study. A (hypertensive patients with atrial fibrillation, 106 patients) and B (246 patients without atrial fibrillation) were divided into two groups according to whether they were atrial fibrillation during hospitalization Group, general information and physical, laboratory, electrocardiogram, and echocardiography were performed on the two groups of patients. The results of the two groups of patients were recorded and compared, and the risk factors of hypertension complicated with atrial fibrillation were analyzed. Results The average age, BMI index, grading of cardiac function, incidence of cerebrovascular disease, triglyceride, total cholesterol, low density lipoprotein cholesterol, left atrial diameter (LAD), left ventricular ejection fraction The scores of LVEF and LVM were significantly different from those in group B (P <0.05). Logistic regression analysis of the above data showed that the age, LAD and LVM index of patients were independent risk factors for hypertension with atrial fibrillation (P <0.05). Conclusions The age, LAD and LVM index of patients are independent risk factors of hypertension in patients with atrial fibrillation. Early intervention on the above factors may reduce the incidence of atrial fibrillation to a certain extent.