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目的:分析心房颤动(房颤)并发缺血性脑卒中患者的危险因素及预防措施。方法:对荆门地区40岁以上的居民进行整体随机抽样调查。共有房颤患者156例,房颤并缺血性脑卒中患者22例。对每例房颤患者均进行问卷调查,采血进行实验室检查以及心脏彩超检查,并了解用药情况。结果:平均年龄、>70岁患者比例、血总胆固醇浓度、高血压发病率、左心房内径、左心室射血分数在脑卒中及非脑卒中两组房颤患者中有统计学差异。说明年龄>70岁、血脂异常、高血压、左心房增大、左心室射血分数降低、未抗栓治疗是房颤并发缺血性脑卒中的高危因素。结论:有效控制各种高危因素,根据房颤危险分层选用相应的抗栓治疗药物,加强健康教育宣传,可能会减少荆门地区居民房颤并发脑卒中的发生。
Objective: To analyze the risk factors and preventive measures in patients with atrial fibrillation complicated by ischemic stroke. Methods: The residents over the age of 40 in Jingmen area were randomly sampled. A total of 156 patients with atrial fibrillation, atrial fibrillation and ischemic stroke in 22 patients. Atrial fibrillation patients were surveyed by each questionnaire, blood tests for laboratory tests and echocardiography, and understand the medication. Results: The mean age, the proportion of patients> 70 years old, the blood total cholesterol, the incidence of hypertension, the diameter of left atrium and the left ventricular ejection fraction were significantly different between the two groups in stroke and non-stroke patients. Description of age> 70 years old, dyslipidemia, hypertension, left atrial enlargement, decreased left ventricular ejection fraction, non-antithrombotic therapy is a risk factor for atrial fibrillation complicated by ischemic stroke. Conclusion: Effective control of various risk factors, stratification according to the risk of atrial fibrillation using the appropriate antithrombotic drugs, and strengthening health education and publicity, may reduce the occurrence of stroke in Jingmen residents with atrial fibrillation.