600例心房颤动住院患者临床因素分析

Clinical factor analysis on 600 hospitalized patients with atrial fibrillation

目的分析上海市奉贤区中心医院心房颤动(房颤)住院患者的临床相关因素。方法收集2015至2017年该院600例房颤住院患者的病史资料,并进行回顾性分析。结果(1)600例患者中男性占45.2%,女性占54.8%,男女比例为0.82∶1。71~80岁患者所占比例最大(37.5%),其次为81~90岁(25.2%)与61~70岁(20.8%)。(2)房颤合并原发性高血压患者占57.3%,男女比例为0.75∶1,高血压3级患者占比57.3%,冠心病占42.7%,糖尿病占13.2%,甲状腺功能异常者占26.0%。(3)共134例发生脑卒中,占22.3%;高血压高危患者占73.1%;冠心病占60.4%。(4)阵发性房颤134例(26.5%),持续性合并永久性房颤441例(73.5%),阵发性房颤NYHA分级Ⅰ~Ⅱ级占83.0%,持续性合并永久性房颤NYHA分级Ⅰ~Ⅱ级占52.2%(P<0.05)。结论我院房颤住院患者中女性所占比例显著高于男性。高血压、冠心病、糖尿病和高龄是房颤的临床相关因素。

Objective To make related clinical factor analysis on 600 hospitalized patients with atrial fibrillation( AF) in Shanghai Fengxian District Central Hospital. Methods Clinical data of600 inpatients from 2015 to 2017 in our hospital were collected and retrospectively analyzed. Results( ⅰ) Among the 600 patients,males and females separately accounted for 45. 2% and54. 8%. The sex ratio of male to female was 0. 82 ∶ 1. Patients aged 71 to 80 years old accounted for the largest proportion( 37. 5%),followed by the patients aged 81 to 90 years old and those aged61 to 70 years old,accounting for 25. 2% and 20. 8%,respectively.( ⅱ) AF patients complicating primary hypertension accounted for 57. 3% and the sex ratio of male to female was 0. 75 ∶ 1. The proportion of patients with grade-3 hypertension,coronary heart disease( CHD),diabetes and thyroid dysfunction was 57. 3%,42. 7%,13. 2% and 26. 0%,respectively.( ⅲ) A total of 134 AF patients were complicated by cerebral apoplexy,accounting for 22. 3%; those at high risk of hypertension accounted for 73. 1% and CHD patients accounted for 60. 4%.( ⅳ) Paroxysmal AF was observed in 134 cases( 26. 5%),and persistent and permanent AF in 441 cases( 73. 5%). Paroxysmal AF patients at a NYHA level of Ⅰ-Ⅱaccounted for 83. 0% while persistent and permanent AF patients at the same level accounted for 52. 2%( P < 0. 05). Conclusion The proportion of fe-males among AF inpatients in our hospital was significantly higher than that of males. Hypertension,CHD,diabetes and advanced age are clinically related to AF.