心房颤动536例临床分析

Clinical characteristics of patients with atrial fibrillation:report of 536 cases

目的分析住院心房颤动(AF)合并高血压患者的临床特点。方法对2009年—2010年本院诊断为AF的536例住院患者的临床资料进行回顾性分析,并通过回归分析明确AF患者病因中其高血压发生的相关因素。结果 536例AF患者合并高血压、冠心病和糖尿病者分别占有58.77%、30.78%和21.27%。回归分析结果:年龄≥65岁(P<0.01,B=1.801)、糖尿病(P<0.01,B=1.527)、冠心病(P=0.002,B=0.727)与AF合并高血压相关,而瓣膜病(P=0.002,B=-0.918)与无高血压的AF相关。结论年龄、高血压、冠心病和糖尿病是AF的主要病因;年龄≥65岁且患有高血压的AF病人容易合并冠心病或糖尿病;而没有高血压的AF病人较易合并瓣膜疾病。

Objective To investigate the clinical characteristics of patients with atrial fibrillation complicated by hypertension.Methods The data of 536 hospitalized patients（from January 2009 to December 2010）with AF were retrospectively analyzed.The independent predictors for hypertension in AF patients were determined by regression analysis.Results The AF patients complicated by hypertension,CHD,diabetes mellitus（DM）accounted for 58.77%,30.78% and 21.27%,respectively.The results of logistic analysis showed that age≥65 years（P0.01,B=1.801）,DM（P0.01,B=1.527）,CHD（P=0.002,B=0.727） were positively related to hypertension;rheumatic valvular disease（P=0.002,B=-0.918）were negatively related to hypertension.Conclusion Age,hypertension,CHD and DM are the most important factors of AF.AF patients,age≥65 years with hypertension are more susceptiblely to suffer from diabetes mellitus or CHD.While rheumatic valvular disease are common in AF patients without hypertension.