中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2009年
3期
184-186
,共3页
白玉芝%张琴%王晶%茹静%安芸%汤莉莹%赵霞%田甜
白玉芝%張琴%王晶%茹靜%安蕓%湯莉瑩%趙霞%田甜
백옥지%장금%왕정%여정%안예%탕리형%조하%전첨
心房颤动%危险因素
心房顫動%危險因素
심방전동%위험인소
Atrial fibrillation%Risk factors
目的 探讨心房颤动(房颤)患者的相关危险因素,旨在防止房颤的发生.方法 对我院2005年6月至2008年6月558例房颤患者的住院资料进行回顾性分析,并按年龄分组,分析老年人房颤的特点.结果 558例房颤患者中,男298例(53.4%),女260例(46.6%);年龄21～97岁,平均(72.8±10.1)岁,其中21～59岁57例(10.2%),60～97岁501例(89.8 %);同期全院住院患者11 869例,不同年龄组分别为:21～59岁4049例,60～69岁2527例,70～79岁3971例,80～89岁1244例,90～97岁78例.房颤患者占同年龄组住院患者的比例依次为1.4%(57例)、4.2%(107例)、6.6%(262例)、9.5%(118例)、17.9%(14例);558例中,阵发性、持续性、永久性房颤分别为230例(41.2%)、44例(7.9%)、284例(50.9%);基础疾病高血压占首位,其次为冠心病、心功能不全、糖尿病、风湿性心脏病等.结论 房颤的发生随增龄而明显增加.高血压、冠心病、风湿性心脏病、心功能不全、甲状腺功能亢进、糖尿病、慢性肺疾病、肾衰竭均是房颤的危险因素,应早期预防、控制和治疗以防房颤的发生.
目的 探討心房顫動(房顫)患者的相關危險因素,旨在防止房顫的髮生.方法 對我院2005年6月至2008年6月558例房顫患者的住院資料進行迴顧性分析,併按年齡分組,分析老年人房顫的特點.結果 558例房顫患者中,男298例(53.4%),女260例(46.6%);年齡21～97歲,平均(72.8±10.1)歲,其中21～59歲57例(10.2%),60～97歲501例(89.8 %);同期全院住院患者11 869例,不同年齡組分彆為:21～59歲4049例,60～69歲2527例,70～79歲3971例,80～89歲1244例,90～97歲78例.房顫患者佔同年齡組住院患者的比例依次為1.4%(57例)、4.2%(107例)、6.6%(262例)、9.5%(118例)、17.9%(14例);558例中,陣髮性、持續性、永久性房顫分彆為230例(41.2%)、44例(7.9%)、284例(50.9%);基礎疾病高血壓佔首位,其次為冠心病、心功能不全、糖尿病、風濕性心髒病等.結論 房顫的髮生隨增齡而明顯增加.高血壓、冠心病、風濕性心髒病、心功能不全、甲狀腺功能亢進、糖尿病、慢性肺疾病、腎衰竭均是房顫的危險因素,應早期預防、控製和治療以防房顫的髮生.
목적 탐토심방전동(방전)환자적상관위험인소,지재방지방전적발생.방법 대아원2005년6월지2008년6월558례방전환자적주원자료진행회고성분석,병안년령분조,분석노년인방전적특점.결과 558례방전환자중,남298례(53.4%),녀260례(46.6%);년령21～97세,평균(72.8±10.1)세,기중21～59세57례(10.2%),60～97세501례(89.8 %);동기전원주원환자11 869례,불동년령조분별위:21～59세4049례,60～69세2527례,70～79세3971례,80～89세1244례,90～97세78례.방전환자점동년령조주원환자적비례의차위1.4%(57례)、4.2%(107례)、6.6%(262례)、9.5%(118례)、17.9%(14례);558례중,진발성、지속성、영구성방전분별위230례(41.2%)、44례(7.9%)、284례(50.9%);기출질병고혈압점수위,기차위관심병、심공능불전、당뇨병、풍습성심장병등.결론 방전적발생수증령이명현증가.고혈압、관심병、풍습성심장병、심공능불전、갑상선공능항진、당뇨병、만성폐질병、신쇠갈균시방전적위험인소,응조기예방、공제화치료이방방전적발생.
Objective To investigate the related risk factors in patients with atrial fibrillation in order to prevent and delay the occurrence of atrial fibrillation.Methods Five hundred and fifty-eight inpatients with atrial fibrillation were retrospectively analyzed from June 2005 to June 2008.They were divided into several groups according to the age and the characteristics of the elder patients with atrial fibrillation were analyzed.Results In the 558 cases with atrial fibrillation, there were 298 males (53.4%) and 260 females (46.6%) aged from 21 to 97 years.The average age was (72.8 ±10.1) years.There were 57 cases aged 21-59 years(10.2 %)and 501 cases aged 60-97 years(89.8 %).The total number of inpatients in our hospital was 11 869, and there were 4049 cases aged<60 years, 2527 cases aged 60-69 years, 3971 cases aged 70-79 years, 1244 cases aged 80-89 years and 78 cases aged>90 years.The proportions of the inpatients with atrial fibrillation in the above five age groups of inpatients were 1.4%(57 cases), 4.2%(107 cases), 6.6% (262 cases), 9.5%(118 cases)and 17.9% (14 cases), respectively.In 558 cases with atrial fibrillation, there were 230 cases (41.2%) with paroxysmal atrial fibrillation, 44 cases (7.9%) with persistent atrial fibrillation and 284 cases (50.9%) with permanent atrial fibrillation.The most common underlying disease was hypertension in the 558 cases, followed by coronary heart disease, heart failure, diabetes, rheumatic heart disease and so on.Conclusions The prevalence of atrial fibrillation is increased with aging.Hypertension, coronary heart disease, rheumatic heart disease, heart failure, hyperthyroidism,diabetes, chronic pulmonary disease and renal failure are all the risk factors for atrial fibrillation.
