急性脑卒中并发房颤相关因素临床分析

Clinical Analysis of Related Factors of Acute Stroke With Atrial Fibrillation atrial

目的探讨急性脑卒中并发房颤的临床特点,并提出防治措施。方法对该院神经内科2010年12月—2012年11月收治的436例急性脑卒中患者临床资料进行回顾分析,了解房颤发生率及发生相关因素。结果 436例患者共发生房颤61例,总发生率14%;32例患者在卒中后24h内出现房颤,占52.5%,18例患者在卒中后24～48h内出现房颤,占29.5%。年龄越大、神经功能缺损程度越严重(NIHSS评分评估)者,房颤发生率越高。结论急性脑卒中后48小时内房颤发生率最高;年龄、神经功能缺损严重程度(NIHSS评分评估)是急性脑卒中并发房颤的危险因素。

Objective To explore the clinical features of fibrillation atrial in patients with acute cerebrovascular disease and propose some preventive measures. Methods Clinical data of 436 patients with acute cerebrovascular disease during December 2010 and November 2012 were retrospectively analyzed in order to learn the incidence rate,correlative factors of fibrillation atrial.Results There were 61 patients （14%） were diagnosed as having fibrillation atrial. 32 patients（52.5%） suffered fibrillation atrial in 24 hours after stroke, 18 patients（29.5%） suffered fibrillation atrial in 48 hours after stroke. The incidence of fibrillation atrial was independently associated with higher age and severer neurological deficits as measured by the National Institutes of Health Stroke Scale on admission. Conclusion The risk for fibrillation atrial after an acute cerebrovascular event is highest during the first 48 hours. Age and the National Institutes of Health Stroke Scale may be risk factors of the incidence of fibrillation atrial after stroke.