房颤患者的脑血管功能变化特征及脑卒中风险分析

Changes of Cerebral Vascular Function in Patients With Atrial Fibrillation and Risk Analysis of Stroke

目的分析房颤患者的脑血管功能变化特征及脑卒中风险。方法选取我院门诊收治的85例房颤患者作为研究组,另选取80例无房颤的健康体检者作为对照组,检测两组的脑血管血流动力学指标。以脑血管功能积分作为脑卒中预测因子,分析两组的脑卒中发生风险。结果观察组的脑血管功能积分平均值低于对照组,P<0.05。观察组脑血管功能积分高于对照组,P<0.05。相对风险分析显示,脑血管功能积分对脑卒中的RR值为4.02,P<0.05;房颤的RR值为1.96,P>0.05。结论房颤患者有明显的脑血管功能损害,相比普通人有更高的脑卒中风险,临床可通过脑血管功能积分来预测患者的脑卒中发病风险。

Objective To analyze the changes of cerebral vascular function and the risk of stroke in patients with atrial fibrillation.Methods 85 patients with atrial fibrillation in our hospital were selected as the study group,and 80 healthy subjects with no atrial fibrillation were selected as the control group,and the hemodynamic indexes were detected in the two groups.Cerebral apoplexy was used as a predictor of stroke,and the risk of stroke in both groups was analyzed.Results The mean value of cerebral vascular function in the observation group was significantly lower than that in the control group,P<0.05.The score of cerebral vascular function in the observation group was significantly higher than that in the control group,P<0.05.The RR value of cerebrovascular function score for stroke was 4.02,P<0.05;The RR value of atrial fibrillation was 1.96,P>0.05.Conclusion Patients with atrial fibrillation have obvious cerebral vascular function damage,and compared with ordinary people,there is a higher risk of cerebral apoplexy,which can be used to predict the risk of stroke in patients.