老年心房颤动临床特点(附60例临床分析)

Clinical Analysis of Data for 60 Gerontalr Patients of Atrial Fibrillation

目的:探讨老年心房颤动的临床特点。方法:对60例男性房颤患者的临床资料进行回顾性分析。结果:患者中阵发性房颤、持续性和永久性房颤分别占12%、22%、66%;持续性/永久性房颤心功能明显差于阵发性房颤心功能P<0101;其左房内径显著大于阵发性房颤患者的左房内径,而射血分数显著低于阵发性房颤的射血分数P均<0101;慢性房颤患者均合并有不同类型的其它心律失常;60例老年房颤患者均用过抗凝剂,4例患者发生脑栓塞,2例患者发生下肢或上肢动脉栓塞。结论:随着房颤的发展、心功能逐渐恶化;房颤常合并其它形式的心律失常,脑栓塞,应加强防治。

Objective： To investigate the clinical features of elderly patients with atrial fibrillation. Methods： A total of 60 elderly patients with atrial fibrillation were retrospectively analyzed. Results： The incidence of paroxysmal, persistent and perpetual atrial fibrillation patients were 12%, 22%, 66% respectively. The heart function of patients with persistent or perpetual atrial fibrillation was worse than that of patients with paroxysmal atrial fibrillation （ P 〈 0101 ）, and the internal diameter of left atriumof patients with persistent or perpetual atrial fibrillation was largerthan that of paroxysmal atrial fibrillation patients, and the left ventrieular ejection fraction of persistent and perpetual atrial fibrillation patients was lower than that of paroxysmal atrial fibrillation patients （ P 〈 0101）. All the 60 cases of elderly patients had taken anticoagulants, There were4 cases encountered cerebral embolism and two cases encountered upper or lower limbs artery embolism. Conclusions： With atrial fibrillation developing; patients＇heart function decrease; we must emphasis its preventionand cure .