206例心房颤动临床分析

Clinical analysis of 206 patients with atrial fibrillation

目的分析心房颤动的流行病学及其治疗现状。方法对 2 0 6例心房颤动患者的临床资料进行回顾性分析。结果 2 0 6例心房颤动的最常见的病因依次为冠心病、高血压和风湿性心脏病 ;心房颤动患者合并心力衰竭的发生率较高 ,约占 4 9.0 %;阵发性心房颤动药物复律约占 5 0 .0 %。持续性或永久性心房颤动以洋地黄类及胺碘酮等控制心室率为主 (5 8.5 %) ;应用抗凝治疗患者占 4 4 .1%。结论 2 0 6例心房颤动的主要病因为冠心病和高血压 ,合并心力衰竭的患者心房颤动的发生率较高 ;持续性和永久性心房颤动药物控制心室率的效果亦佳。

Objective To investigate the epidemiology and treatment of atrial fibrillation. Methods Clinical data of 206 patients with atrial fibrillation were analyzed retrospectively. Results In 206 patients,the most common causes were coronary heart disease,essential hypertension,and rheumatic heart disease,in turn. The incidence of heart failure in atrial fibrillation was high,approximating 49.0%. Drug cardioversion in patients with paroxysmal atrial fibrillation was about 50.0%.As for persistent and permanent atrial fibrillation,the main medicines for controlling venericular rute were digitalis and amiodarine(58.5%).The patients who need anticoagiration treatment aceountel for 44.1%. Conclusion The most common causes for atrial fibrillation in 206 patients are coronary heart disease and essential hypertension.The incidence rate atrial fibrillation in the patients complicated with heart failure is much higher.Persistent atrial fibrillation and permanent atrial fibrillation medicine is good to control ventricular rate.