论文部分内容阅读
目的分析老年心房颤动(房颤)患者合并脑血管病的危险因素。方法 168例房颤患者,依照年龄情况分为非老年组(年龄<65岁,96例)和老年组(年龄≥65岁,72例)。分析老年房颤患者合并脑血管病的危险因素。结果老年组患者男性比例为43.06%,低于非老年组的59.38%,差异具有统计学意义(P<0.05);老年组患者高血压、糖尿病、高同型半胱氨酸血症、冠心病发生率均高于非老年组,差异具有统计学意义(P<0.05)。两组患者高脂血症发生率比较差异无统计学意义(P>0.05)。多因素回归分析显示,高血压、高龄、糖尿病、高同型半胱氨酸血症为该类疾病患者的独立危险因素(P<0.05)。结论对于老年房颤合并脑血管疾病患者,综合分析其危险因素,并给予积极有效的治疗,能够帮助患者及时改善临床症状。
Objective To analyze the risk factors of cerebrovascular disease in elderly patients with atrial fibrillation (AF). Methods A total of 168 patients with atrial fibrillation were divided into non-elderly group (age <65 years, 96 cases) and elderly group (≥65 years old, 72 cases) according to their age. To analyze the risk factors of cerebrovascular disease in elderly patients with atrial fibrillation. Results The percentage of males in the elderly group was 43.06%, which was lower than 59.38% in the non-elderly group (P <0.05). Hypertension, diabetes mellitus, hyperhomocysteinemia and coronary heart disease The rates were higher than the non-elderly group, the difference was statistically significant (P <0.05). There was no significant difference in the incidence of hyperlipidemia between the two groups (P> 0.05). Multivariate regression analysis showed that hypertension, age, diabetes, hyperhomocysteinemia were independent risk factors for these diseases (P <0.05). Conclusion Aged patients with atrial fibrillation and cerebrovascular disease, a comprehensive analysis of risk factors, and give a positive and effective treatment, can help patients improve clinical symptoms in time.