荆门地区心房颤动并缺血性脑卒中高危因素分析

Risk factors of atrial fibrillation with ischemic stroke for residents in Jingmen

目的:分析心房颤动(房颤)并发缺血性脑卒中患者的危险因素及预防措施。方法:对荆门地区40岁以上的居民进行整体随机抽样调查。共有房颤患者156例,房颤并缺血性脑卒中患者22例。对每例房颤患者均进行问卷调查,采血进行实验室检查以及心脏彩超检查,并了解用药情况。结果:平均年龄、>70岁患者比例、血总胆固醇浓度、高血压发病率、左心房内径、左心室射血分数在脑卒中及非脑卒中两组房颤患者中有统计学差异。说明年龄>70岁、血脂异常、高血压、左心房增大、左心室射血分数降低、未抗栓治疗是房颤并发缺血性脑卒中的高危因素。结论:有效控制各种高危因素,根据房颤危险分层选用相应的抗栓治疗药物,加强健康教育宣传,可能会减少荆门地区居民房颤并发脑卒中的发生。

Objective：To discuss the risk factors and prophylaxis of atrial fibrillation with ischemic stroke in Jingmen.Method：Whole random sampling was conducted for over 40 years old residents in Jingmen City.A total of 156 patients with atrial fibrillation and 22 patients with atrial fibrillation combined with stroke were included.Each atrial fibrillation patients was conducted a questionnaire survey,blood laboratory examination and echocardiography,as well as the application of medicine use.Result：The average age,the proportion of patients over 70 years old,the levels of total blood cholesterol concentration,hypertension rates,left atrial diameter,and left ventricular ejection fraction has significant difference in two groups.It means advanced age（more than 70years）,hyperlipemia,hypertension,left atrial enlargement,reduced left ventricular ejection fraction,and no antithrombotic treatment were the risk factors for ischemic stroke in patients with atrial fibrillation.Conclusion：The control of risk factors,properly antithrombotic treatment according to the atrial fibrillation risk stratification,and strengthen health education can reduce the occurrence of atrial fibrillation with stroke.