喀什地区维吾尔族和汉族在非瓣膜性心房颤动临床特征的对比分析

Comparative Analysis of the Clinical Characteristics of Non-Valvular Atrial Fibrillation between Uygur and Han Nationality in Kashi

目的分析新疆喀什地区老年非瓣膜性心房颤动住院患者的临床特点及现况,为喀什地区老年心房颤动患者的防治提供参考。方法回顾性分析2016年1月—2017年12月因非瓣膜性房颤在新疆喀什地区第二人民医院心内科住院治疗的老年患者的临床资料。本研究共纳入168例诊断为非瓣膜性房颤的老年患者,其临床资料主要包括性别、年龄、房颤类型、既往病史[(冠心病、高血压、糖尿病、慢性阻塞性肺疾病(COPD)、病态窦房结综合征、心力衰竭、脑卒中或短暂性脑缺血发作(TIA)]以及阵发性房颤患者诱因等指标等,用统计学方法分析维吾尔族、汉族非瓣膜性房颤患者的临床特征。结果所纳入的研究对象合并冠心病有95例(56.5%),高血压有81例(48.2%),糖尿病有23例(13.7%),心力衰竭有20例(11.9%),COPD有17例(10.1%),脑卒中或TIA有9例(5.4%),病态窦房结综合征有2例(1.2%);首诊房颤有2例(1.2%),阵发性房颤有68例(40.5%),长期持续性房颤有63例(37.5%),永久性房颤有35例(20.8%)。汉族、维吾尔族2组在年龄、既往是否患有COPD、阵发性房颤发作诱因等方面差异有统计学意义(P<0.05)。结论喀什地区维吾尔族和汉族老年非瓣膜性房颤可能存在不同的临床特征;阵发性房颤的诱因多数可以控制,应进一步积极控制相关诱因减少房颤的发生。

Objective To analyze the clinical characteristics and current situation of elderly patients with non-valvular atrial fibrillation in Kashi, Xinjiang, and to provide a reference for the prevention and treatment of elderly patients with atrial fibrillation in Kashi. Methods The clinical data of elderly patients with non-valvular atrial fibrillation in Second People’s Hospital of Kashi city from January 2016 to December 2017 were analyzed retrospectively. A total of 168 elderly patients diagnosed with non-valvular atrial fibrillation were included in this study. The clinical data mainly included gender, age, type of atrial fibrillation,previous history(coronary heart disease, hypertension, diabetes, COPD, sick sinus node synthesis, heart failure, stroke or TIA), the causes of paroxysmal atrial fibrillation, and etc. The clinical characteristics were compared between Uygur and Han patients. Results There were 95 patients(56.5%) with coronary heart disease, 81(48.2%) with hypertension, 23(13.7%)with diabetes, 20(11.9%) with heart failure, 17(10.1%) with COPD, 9(5.4%) with stroke or TIA, 2(1.2%) with sick sinus syndrome, 2(1.2%) with first diagnosed atrial fibrillation, 68(40.5%) with paroxysmal atrial fibrillation and 63(37.5%)with long-term persistent atrial fibrillation and 35(20.8%) with permanent AF. There were statistically significant differences between the Han and Uyghur groups in terms of age, COPD history, and the causes of paroxysmal atrial fibrillation(P<0.05).Conclusion There are different clinical characteristics of non valvular atrial fibrillation between the elderly Uygur and Han patients in Kashi city;most of the causes of paroxysmal atrial fibrillation can be controlled, and we should pay more attention to control the relevant causes to reduce the incidence of atrial fibrillation.