甲状腺机能亢进伴房颤与脑梗塞的关系

The relationship between cerebral infarction and hyperthyroidism with atrial fibrillation

216例甲状腺机能亢进(甲亢)患者,其中37例(17.13％)伴有房颤。房颤发生率随年龄增加而增加(P<0.05),二者间存在高度正相关关系(r=0.9525)。216例中,发生脑梗塞21例(9.7％),伴房颤者10例(27.0％)。甲亢伴房颤的脑梗塞发生率明显高于甲亢无房颤者(P<0.001)。脑梗塞发生率随年龄增加而增加,二者之间呈高度正相关关系(r=0.9213)。结果提示,对于甲亢患者的抗甲状腺治疗应尽早开始,以控制房颤的发生,这对于减少甲亢患者脑梗塞的发生率有着重要意义。

A retrospective study in 216 patients of hyperthyroidism was carried out. Among them, 37 cases (17.13%) had atrial fibrillation. A conspicuous relativity existed between age and incidence of atrial fibrillation (r=0.9525),21 cases (9.7%) had cerebral infarction and 10 (27.0%) with atrial fibrillation. The incidence of cerebral infarctin in hyperthyroidism with atrial fibrillation was markedly increased compared with the control group(P<0.001). There was a conspicuous relativity between age and incidence of cerebral infarction too (r=0.9213). The results suggested that it is important to treat hyperthyroidism early for reducing the incidence of atrial fibrillation and cerebral infarction in hyperthyroidism patients.