影响脑梗死患者伴发心律失常-房颤的危险因素分析

发布时间：2018-06-03 22:07

  本文选题：脑梗死 + 心律失常　； 参考：《中国现代医学杂志》2017年10期

【摘要】：目的分析影响脑梗死患者伴发心律失常-房颤的危险因素,以期改善脑梗死患者预后。方法回顾性调查统计南阳市中心医院2014年1月-2015年10月收治的96例脑梗死患者的临床资料,其中脑梗死后伴发心律失常-房颤的患者共有23例,记为观察组;其余73例未发生心律失常-房颤的患者记为对照组。对两组可能影响心率失常-房颤发生的因素分别采用单因素两样本比较和多因素Logistic回归分析方法确定其影响因素,以期为临床脑梗死患者预后改善提供依据。结果年龄≥70岁、心律失常-房颤家族史、大面积脑梗死、NIHSS评分≥16分、合并高血压、合并糖尿病、心功能Ⅲ~Ⅳ级、抗凝治疗、服用溶栓药物、脑梗死手术治疗、LAD≥45 mm、LEVDD≥50 mm、颈动脉软斑块、适当锻炼等均是脑梗死患者伴发心律失常-房颤的影响因素(P0.05);多因素Logistic回归分析发现,影响脑梗死患者伴发心律失常-房颤的危险因素按照危险程度由高到低排列为大面积脑梗死(OR=3.987)、颈动脉软斑块(OR=3.246)、NIHSS评分≥16分(OR=3.214)、合并高血压(OR=2.067)、年龄≥70岁(OR=1.932),而抗凝治疗、服用溶栓药物、脑梗死手术治疗、适当锻炼均是脑梗死患者伴发心律失常-房颤的保护性因素(b0,0OR1,P0.05)。结论影响脑梗死患者伴发心率失常-房颤的危险因素多种多样,临床上应针对大面积脑梗死、颈动脉软斑块、NIHSS评分≥16分、合并高血压的患者加强防范,同时给予抗血小板聚集、溶栓类药物和适当锻炼指导,降低心律失常-房颤发生率。
[Abstract]:Objective to analyze the risk factors of arrhythmia and atrial fibrillation in patients with cerebral infarction, and to improve the prognosis of patients with cerebral infarction. Methods the clinical data of 96 patients with cerebral infarction treated in Nanyang Central Hospital from January 2014 to October 2015 were retrospectively analyzed. 23 patients with arrhythmia and atrial fibrillation after cerebral infarction were recorded as observation group. The remaining 73 patients without arrhythmia-atrial fibrillation were recorded as control group. Univariate comparison of two samples and multivariate Logistic regression analysis were used to determine the influencing factors of the two groups of possible factors affecting the occurrence of arrhythmia and atrial fibrillation in order to provide evidence for the improvement of prognosis of the patients with clinical cerebral infarction. Results Age 鈮，

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