大连市房颤住院患者诊治状况调查分析

Analysis of treatment situation of hospitalized patients with atrial fibrillation in Dalian

[目的]了解大连地区心房纤颤（房颤）住院患者年龄、病因、房颤类型、脑卒中等流行病学特征及不同类型房颤的治疗现状。[方法]对2003～2004年大连市6家综合医院诊断的房颤患者的住院病历进行回顾性分析。[结果]（1）共964例，房颤病因主要为高血压44．6％，冠心病30．4％。心力衰竭22．3％。（3）房颤类型中阵发性房颤28．6％，持续性房颤14．1％，持久性房颤57．2％。阵发性房颤复律及维持窦律治疗占56％，发作时治疗药物多为西地兰、胺碘酮，其次为普罗帕酮、β阻滞剂。慢性房颤78％采用心室率控制治疗，常用药物为地高辛、β阻滞剂，其次为钙拮抗剂及胺碘酮。（4）本组脑卒中患病率为9．4％，各种类型房颤之间比较无明显差异。（5）本组患者69．7％接受抗血小板治疗，长期华法林抗凝治疗者仅占4％，抗凝治疗严重不足。[结论]大连地区心房纤颤住院患者年龄、病因、房颤类型、脑卒中等流行病学特征与国内其他地区相似，阵发性房颤以节律控制为主，慢性房颤绝大多数采用心室率控制治疗。抗凝治疗严重不足。

[Objective] To understand the age, the cause of disease, type of atrial fibrillation, cerebral apoplexy etc epidemiological feature in - patient with atrial fibrillation in Dalian and treatment situation of atrial fibrillation [ Methods] （1）Retrospective analysis in patients with atrial fibrillation from six- comperhensive hospital in Dalian, from 2003 - 2004. [ Results] In 964 patients were enrolled in the study including 498 male and 466 female with mean age of 68.5 years, there were cases（44.6% ） with hypertension ,cases （30.4%） with coronary heart disease and cases （22.3%）with congestive heart failure （3）. Type of atrial fibrillation include paroxysmal auricular flutter 28.6%, persistent atrial fibrillation 14.1%, permanent atrial fibrillation 57.2%, conversion and maintaining sionus rhythm was 56%, deslanoside and amiodarone were more used than propafenone hydrochloride and beta- receptor blocker during breaking out atrial fibrillation, of 78% the patients with chronic atrial fib- rillation were treated by controlling ventricular rate, digoxiin and betereceptor blocker were more used than calcul-and amiodarone. （4）mortidity rate of cerebral apoplexy in the study is 9.4%, there were no difference between every type of atrial fibrillation. （5）69.7% were treated by resisting platelet in this groups, and only 4% by warfarin anticoagulant over a long period of time. [ Condusion] The age the callse of disease type of atrial fibrillation cerebral apoplexy etc epidernidogical featurs in patient with atrial fibrillation in Dalian is resemble to the other interral regions, the patients with paroxysmal auricular flutter were treated principally by controlling rhythm, most of the pationts with chronic atrial fibrillation were treated by controlling ventricular rate. Anticoagulantion therapy is little use.