老年人房颤并发脑梗死45例分析

Analysis of 45 cases of cerebral infarct with atrial fibrillation in elderly patients

[背景]分析老年人房颤并发脑梗死的临床特征和预后.[病例报告]将房颤并发首次脑梗死的45例老年患者列入分析对象组,脑血栓形成的脑梗死43例列入对照组,对两组患者治疗前后的神经功能缺损程度和日常生活能力进行回顾性分析.治疗前分析对象组患者的神经功能和日常生活能力与对照组比较有显著性差异;治疗1个月后分析对象组患者的神经功能和日常生活能力的恢复程度仍明显差于对照组.[讨论]房颤并发脑梗死的预后明显差于脑血栓引发的脑梗死.

BACKGROUND To study the clinic characteristics and prognosis of cerebral infarct with atrial fibrillation in elderly patients. CASE REPORTS The degree of nerve function defect and the ability of day-to-day life were retrospectively analyzed before and after treatment between 45 cases of the cerebral infarct with atrial fibrillation in the elderly patients as A group and 43 cases of the cerebral infarct induced by cerebral thrombosis as B group. The degree of nerve function defect and the ability of day-to-day life before treatment were significantly worse in A group than in B group, and-the recovery degree was the same after treatment for one month. DISCUSSION The prognosis of cerebral infarct with atrial fibrillation is significantly worse than that of cerebral infarct induced by cerebral thrombosis.