心房顫動(dòng)老年患者缺血性腦卒中危險(xiǎn)因素分析
發(fā)布時(shí)間:2018-04-11 04:05
本文選題:心房顫動(dòng) + 缺血性腦卒中 ; 參考:《中國當(dāng)代醫(yī)藥》2016年35期
【摘要】:目的探討心房顫動(dòng)(房顫)老年患者缺血性腦卒中的危險(xiǎn)因素。方法選取2013年2月~2015年2月我院確診的132例房顫老年患者的臨床資料進(jìn)行分析,結(jié)合CT和MRI技術(shù)診斷其是否伴隨缺血性腦卒中,將其分為對(duì)照組(單純房顫患者)69例和觀察組(房顫伴有缺血性腦卒中)63例,分析引起缺血性腦卒中發(fā)生的危險(xiǎn)因素。結(jié)果房顫并發(fā)缺血性腦卒中老年患者與年齡(χ~2=9.791,P=0.001)、高血壓病(χ~2=4.859,P=0.027)、2型糖尿病(χ~2=7.283,P=0.007)、持續(xù)性房顫(χ~2=15.230,P=0.000)、頸動(dòng)脈斑塊(χ~2=8.508,P=0.004)、左心房擴(kuò)大(χ~2=8.340,P=0.004)有關(guān)。經(jīng)多因素Logistic回歸模型分析可知,年齡≥70歲、高血壓病、2型糖尿病、持續(xù)性房顫、頸動(dòng)脈斑塊及左心房擴(kuò)大為房顫缺血性腦卒中老年患者的獨(dú)立危險(xiǎn)因素。結(jié)論高齡、高血壓病、2型糖尿病、持續(xù)性房顫、頸動(dòng)脈斑塊及左心房擴(kuò)大是影響房顫老年患者缺血性腦卒中的危險(xiǎn)因素。
[Abstract]:Objective to investigate the risk factors of ischemic stroke in elderly patients with atrial fibrillation (AF).Methods the clinical data of 132 elderly patients with atrial fibrillation from February 2013 to February 2015 were analyzed, and CT and MRI techniques were used to diagnose whether they were accompanied by ischemic stroke.They were divided into control group (69 patients with atrial fibrillation) and observation group (63 patients with atrial fibrillation and ischemic stroke). The risk factors of ischemic stroke were analyzed.Multivariate Logistic regression analysis showed that age 鈮,
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