心房颤动120例临床分析

CLINICAL ANALYSIS OF 120 PATIENTS WITH ATRIAL FIBRILLATION

目的分析心房颤动的病因，临床特点。方法对我院1999—20004年120例心房颤动患者的临床资料进行回顾性分析。结果120例患者中阵发性、持续性和持久性房颤分别占31例（25．8％）、24例（20．0％）、65例（54．2％）；最常见为冠心病、高血压、风湿性心脏病分别占31．7％、24．2％、18．3％；应用抗血栓治疗患者87例（72．5％），120例患者中发生动脉栓塞25例（20．8％），脑栓塞18例（15．0％）。阵发性房颤多采用复律治疗（62．6％），以胺碘酮为主（71．0％），心律平（19．0％）；慢性房颤患者，试行复律者不足1／2，主要采用控制心室率治疗（87．0％），药物主要有地高辛（42．0％）、β-受体阻滞剂（38．0％）和钙离子拮抗剂（20．0％）。结论 房颤常见病因是冠心病、高血压、风湿性心脏病，栓塞是其重要并发症，预防卒中，高危组需用华法林，低危组可用阿司匹林。

Objective To analyze the causes and clinical characters of atrial fibrillation（AF）. Methods The clinical data of 120 patients with atrial fibrillation in our hospital from 1999 to 2004 was analyzed retrospectively. Results Among 120 patients, 31 patients （25.8%） had brief out - break of atrial fibrillation, and there were 24 patients （20.0%） with sustained atrial fibrillation and 65 ones （54. 2% ） with permanent atrial fibrillation. The most frequent causes of atrial fibrillation were coronary heart disease（ 31.7% ）, hypertension（ 24. 2% ） and rheumatic heart disease （ 18. 3% ）. 87 patients （72. 5% ） received antiembolism therapy. 25 patients （20. 8% ） had artery embolism and 18 patients （15.0%） had cerebral embolism. Paroxysmal AF was cured by rhythm control （62. 6% ）. Chronic AF was treated by rate control （87.0%）. Conclusion The frequent causes of atrial fibrillation are coronary heart disease hypertension, and rheumatic heart disease. Embolism is the important complication of atrial fibrillation. To prevent stroke, the patients need to take warfarin or aspirin.