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非瓣膜病心房颤动患者并发缺血性脑卒中的危险因素分析

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目的 分析非瓣膜病心房颤动(NVAF)患者并发缺血性脑卒中(IS)的危险因素。方法 选取2020年3月至2022年3月四川省凉山彝族自治州第一人民医院收治的239例NVAF患者为研究对象,根据是否并发IS将研究对象分为IS组(并发IS,92例)和非IS组(未并发IS,147例)。采用单因素分析及多因素logistic回归方法分析NVAF患者并发IS的独立影响因素。结果 239例NVAF患者中,92例(38。49%)患者并发IS。IS组患者年龄≥75岁比例、合并糖尿病比例、合并高血压比例、总胆固醇(TC)、红细胞分布宽度(RDW)、左心房直径(LAD)均高于非IS组,差异均有统计学意义(P<0。05)。多因素logistic回归分析结果显示,年龄≥75岁、合并糖尿病、合并高血压、TC、RDW、LAD是NVAF患者并发IS的独立危险因素(P<0。05)。结论 高龄、合并糖尿病或高血压以及TC、RDW、LAD水平升高是NVAF患者并发IS的危险因素。
Analysis of risk factors analysis of ischemic stroke in patients with non-valvular atrial fibrillation
Objective To analyze the risk factors of ischemic stroke(IS)in patients with non-valvular atrial fibrillation(NVAF).Method 239 NVAF patients admitted to the First People's Hospital of Liangshan Yi Autonomous Prefecture,Sichuan Province from March 2020 to March 2022 were selected as the study objects.They were divided into IS group(92 cases with IS)and non-IS group(147 cases without IS)according to whether they were complicated with IS.Univariate analysis and multiple logistic regression were used to analyze the independent influencing factors of NVAF patients with IS.Result Among 239 NVAF patients,92 cases(38.49%)were complicated by IS.The proportion of aged≥75 years old,the proportion with diabetes mellitus,the proportion with hypertension,TC,RDW and LAD in IS group were higher than those in non-IS group,with statistical significance(P<0.05).Multivariate logistic regression analysis showed that age≥75 years old,combined with diabetes,combined with hypertension,TC,RDW and LAD were independent risk factors for NVAF patients with IS(P<0.05).Conclusion Old age,diabetes or hypertension and elevated levels of TC,RDW,LAD are risk factors for developing IS in patients with NVAF.

Non-valvular atrial fibrillationIschemic strokeRisk factors

王大敏、邹露娟、边云、冯强龙

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四川省凉山彝族自治州第一人民医院神经内科,四川西昌 615000

非瓣膜病心房颤动 缺血性脑卒中 危险因素

四川省医学会科研课题计划

S17108

2024

中国医刊
人民卫生出版社

中国医刊

CSTPCD
影响因子:1.14
ISSN:1008-1070
年,卷(期):2024.59(10)