冠状动脉旁路移植术后新发心房颤动的多因素分析

Multivariate Analysis for New Onset of Atrial Fibrillation after Coronary Artery Bypass Grafting

目的分析冠状动脉旁路移植术(CABG)术后心房颤动(AF)的危险因素,总结经验以期对临床决策提供参考。方法回顾性分析2012年9月至2014年8月收治的76例首次接受CABG患者的临床资料,对AF的危险因素进行单因素和logistic多因素回归分析。结果 CABG术后AF的发生率为23.7%,多元回归分析结果表明,年龄、美国纽约心脏病协会(NYHA)分级是术后AF的危险因素。结论 CABG术后AF的发生较普遍,年龄、NYHA分级是CABG术后AF的危险因素。

Objective To analyze the risk factors of atrial fibrillation （AF） in patients with coronary artery bypass grafting （CABG） and conclude the experience, so as to provide references for clinical strategy development. Methods The clinical data of 76 patients undergoing CABG for the first time from September 2012 to August 2014 were retrospectively analyzed by using both single factor analysis and multivariate logistic regression analysis. Results In our study, the incidence of AF post CABG was 23.7%. Multivariate logistic regression analysis revealed 2 risk factors for post- operative AF ： age and New York Heart Association （NYHA） classification. Conclusion The incidence of AF post CABG is relative high. The age and NYHA classification were the risk factors for AF after CABG.