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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 analyze the epidemiology and treatment status of atrial fibrillation. Methods The clinical data of 206 patients with atrial fibrillation were retrospectively analyzed. Results The most common causes of atrial fibrillation were coronary heart disease, hypertension and rheumatic heart disease in 206 cases. The incidence of heart failure in patients with atrial fibrillation was high, accounting for 44.0%. The incidence of paroxysmal atrial fibrillation Law accounts for about 50.0%. Continuous or permanent atrial fibrillation with digitalis and amiodarone control of ventricular rate based (8.55%); application of anticoagulant therapy accounted for 44.1%. Conclusions The main cause of atrial fibrillation in 206 patients is coronary heart disease and hypertension. The incidence of atrial fibrillation is high in patients with heart failure. Persistent and permanent atrial fibrillation drugs are also effective in controlling ventricular rate.