房颤患者肺炎衣原体感染的相关因素分析及临床诊治

Related factors for Chiamydia pneumoniae infections in patients with atrial fibrillation and clinical treatment

目的探讨心房颤动患者肺炎衣原体感染的相关因素,并对临床治疗提出合理的方法,以降低感染率。方法回顾性分析2011年1月-2013年1月150例心房颤动患者,通过实验室检查等方法对其中出现肺炎衣原体感染的病例进行相关影响因素研究。结果共发生肺炎衣原体感染13例,感染率为8.7%;低蛋白血症、IgM、IgG和CRP升高、患有多种基础疾病、左心房和主动脉内径异常均是造成肺炎衣原体感染的危险因素(P<0.05),而与年龄、性别、感染和房颤类型以及血肌酐等无关;而低蛋白血症、IgM、IgG和CRP升高以及患有多种基础疾病是高危险因素(P=0.021、0.028、0.023、0.048)。结论心房颤动患者肺炎衣原体感染与多种因素关系密切,临床上定期监测心房颤动有助于防止肺炎衣原体感染的发生。

OBJECTIVE To explore related factors of the atrial fibrillation （AF） in patients with pneumonia chlamydia infections, and put forward to a reasonable method for clinical treatment so as to reduce the infection rate. METHODS From Jan 2011 to Jan 2013, 150 cases of atrial fibrillation in patients with pneumonia chlamydia infections were enrolled in the study, the laboratory detection method was to explore used the related factors for patients with pneumonia chlamydia infections. RESULTS There were 13 cases of patients with pneumonia chlamydia infections, the infection rate was 8.7~ the hypoalbuminemia, elevated levels of IgM, IgG, or CRP, a variety of complications,and abnormal left atrial and aortic inside were risk factors （P^0.05）, the age, gender, infection, AF types and serum creatinine were not related to the chlamydia pneumoniae infectino, the hypoalbuminemia, elevated levels of IgM, IgG CRP and a variety of complications were high risk factors （P=0. 021, 0. 028, 0. 023, 0. 048 respectively）. CONCLUSION Atrial fibrillation in patients with pneumonia chlamydia infection is closely related to many factors, clinical regularly monrtoring of atrial fibrillation contributes to the prevention of pneumonia chlamydia infection.