1436例心房颤动住院患者的种族及临床特性分析

An analysis on racial and clinical characters for 1 436 patients with atrial fibrillation in hospitalization.

目的 分析心房颤动（简称房颤）住院患者的种族及临床特性。方法 收集2002年1月-2006年8月本院住院的1436例房颤患者的资料，并进行统计分析。结果 1436例中，汉族967例（67.3%），维吾尔族350例（24.4%），哈萨克族58例（4.0%），回族38例（2.6%），其他族23例（1.6%）。发病年龄60.8±13.9岁。其中汉族与回族的发病年龄大于维吾尔族与哈萨克族（63.9±12.4，62.5±13.2岁vs53.7±14.9，54.0±14.3岁;P〈0.05）;各族别引起房颤的病因中，汉族以高血压为主，而维吾尔族与哈萨克族及回族以风湿性瓣膜病为主。回族与维吾尔族的血栓栓塞危险因素发生率高于汉族及哈萨克族（P=0.014）。各族别与缺血性脑卒中及血栓栓塞并发症之间的关系差别无显著性。结论 房颤患者的病因、发病年龄及血栓栓塞的危险因素等方面存在种族差别。

Objective To analyze on racial and clinical characters for patients with atrial fibrillation （AF） in hospitalization. Methods we selected 1 436 patients with AF from January 2002 to Auguest 2006 and retrospectively analyzed their clinical data. Results Among the 1 436 patients, 967 cases （67.3%） were Hans , 350 cases （24.4%） were Uygurs ,58 cases （4.0%） were Kazaks ,38 cases （2.6%） were Huis. Mean age of these patients was 60.8 ± 13.9 years old. And mean age of Hans and Huis was oldder than Uygurs and Kazaks （63.9 ±12.4 and 62.5 ±13.2 years old vs 53.7 ±14.9 and 54.0 ± 14.3 years old ;P 〈 0.05 ）. For those reasons caused atrial fibrillation, hypertention was main reason for Hans, the rheumatic valvular disease was main reason for Uygurs, Kazaks and Huis. The risk factors that caused thromboembolism for Huis and Uygurs were higher than Hans and Kazaks. There was not significant difference between race and ischemic stroke or thromboembolism. Conclusion There are existed racial difference for AF patients on etiology and mean age of patients and risk factors of thromboembolism and so on.