摘要
目的 观察老年心房颤动(简称房颤)患者射频消融术后并发症发生情况,探讨其相关影响因素.方法 选取2021年2月-2023年2月于山东第一医科大学附属省立医院行射频消融术的260例老年房颤患者作为研究对象.收集患者的资料,采用多因素logistic回归模型分析老年房颤患者射频消融术后并发症发生的影响因素.结果 51例(19.62％)老年房颤患者在射频消融术后发生并发症,主要为皮下血肿、穿刺局部张力水疱、血栓栓塞、急性脑血管事件、迷走神经反射等.多因素logistic回归分析显示,左房内径、既往脑卒中病史、对加压包扎的感知度、国际标准化比值、可溶性生长刺激表达基因2蛋白(sST2)为老年房颤患者射频消融术后并发症发生的独立危险因素(P＜0.05).结论 老年房颤患者经射频消融术治疗后存在较高的并发症发生风险,左房内径、既往脑卒中病史、对加压包扎的感知度、国际标准化比值、sST2均为其独立危险因素,临床可针对性加以关注.
Abstract
Objective To observe the incidence of complications after radiofrequency ablation in elderly patients with atrial fibrillation and explore its related influencing factors.Methods A total of 260 elderly patients with atrial fibrillation who underwent radiofrequency ablation in Shandong Provincial Hospital,Shandong First Medical University from February 2021 to February 2023 were selected as the study subjects and their data were collected.The multivariate logistic regression model was used to analyze the influen-cing factors of complications in elderly patients with atrial fibrillation after radiofrequency ablation.Results Complications occurred in 51 elderly patients with AF after radiofrequency ablation,with an incidence of 19.62％(51/260).The main complications in-cluded subcutaneous hematoma,local tension blister at puncture site,thromboembolism,acute cerebrovascular events,vagus reflex,etc.Multivariate logistic regression analysis found that left atrial diameter,past stroke history,patients'perception of the tightness of compression bandage,international normalized ratio and soluble growth stimulation expressed gene 2(sST2)were independent risk factors for complications in elderly patients with AF after radiofrequency ablation(P＜0.05).Conclusion There is a higher risk of complications in elderly patients with atrial fibrillation after radiofrequency ablation.Left atrial diameter,past stroke history,pa-tients'perception of the tightness of compression bandage,international normalized ratio and sST2 are possible influencing factors,which deserve attention.
维普
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