论文部分内容阅读
目的分析慢性阻塞性肺病(COPD)患者初发心房颤动与心脏结构的关联性。方法将426例COPD患者分成窦性心律组(n=376)和初发房颤组(n=50)通过单因素分析得出COPD初发房颤的影响因素,再运用logistic回归分析COPD患者初发房颤的高危因素。结果单因素分析显示与窦性心律组比较,初发房颤组患者在年龄、冠心病史、右心室内径(RVD)、左心房内径(LAD)、右心房内径(RAD)、肺动脉内径(PAD)方面差异具有统计学意义(P<0.05),在初发房颤影响因素logistic回归分析中LAD(P<0.05)、RAD(P<0.05)是COPD患者初发房颤的危险因素。结论 COPD患者初发房颤与心脏结构有关联,左心房及右心房增大是COPD患者初发房颤的独立相关因素。
Objective To analyze the association of primary atrial fibrillation with cardiac structure in patients with chronic obstructive pulmonary disease (COPD). Methods 426 patients with chronic obstructive pulmonary disease (COPD) were divided into sinus rhythm group (n = 376) and primary AF group (n = 50). The influencing factors of primary AF with COPD were determined by univariate analysis. Atrial fibrillation risk factors. Results Univariate analysis showed that age, coronary heart disease, right ventricular internal diameter (RVD), left atrium diameter (LAD), right atrium diameter (RAD) and pulmonary artery diameter (PAD) ) (P <0.05). LAD (P <0.05) and RAD (P <0.05) were the risk factors of AF in newly diagnosed AF patients. Conclusions Atrial fibrillation is associated with cardiac structure in COPD patients. The increase of left atrium and right atrium is the independent factor of initial AF in patients with COPD.