摘要
目的:探讨房颤分型对相关脑卒中预后的影响。方法:选择78例房颤相关脑卒中患者,分为非瓣膜性房颤(NVAF)和瓣膜性房颤(VAF)组,收集临床资料并比较分析。按转归将患者分为存活组和死亡组,进行组间比较分析。结果:NVAF组平均年龄大于VAF组,且多合并高血压,两组比较有统计学意义(P<0.05)。VAF组左房内径显著大于NVAF组,左房血栓更多见,两组比较有统计学意义(P<0.05)。NVAF、VAF两组住院病死率分别为23.4%、25.8%,差异无统计学意义(P>0.05)。死亡组与存活组比较大面积脑梗死明显增多,两组比较有统计学意义(P<0.05)。结论:NVAF相关脑卒中起病年龄较大、多合并高血压;VAF相关脑卒中左房较大、左房血栓多见;房颤相关脑卒中的近期预后与房颤分型无关,合并大面积脑梗死患者预后差。
Objective： To investigate the influence of atrial fibrillation（ AF） subtypes on prognosis of patients with AF-related stroke. Methods： A total of 78 patients with AF-related stroke were included and divided into two groups： non-valvular AF group（ NVAF group） and valvular AF group（ VAF group）,and clinical data were collected and compared between groups. Then according to their different outcomes,patients were also divided into two groups： the death group and the survival group,between which the clinical data were compared. Results： The mean age of NVAF group was greater than that of VAF group and the patients with hypertension were more common in NVAF group with the statistical significant difference（ P〈0. 05）. The left atrium diameter was significantly greater and left atrial thrombi were more common in VAF group than that in NVAF group with the statistical significant difference（ P〈0.05）. The mortality of NVAF and VAF group were 23.4% and 25.8%, respectively. There was no statistical difference between the two groups（ P〉0.05）. The massive cerebral infarction in death group was significantly more common than that in survival group with the statistical significant difference（ P〈0.05）.Conclusion： Patients with NVAF-related stroke are older and more complicated with hypertension while patients with VAF-related stroke have the larger left atrium and more left atrial thrombi. The AF subtypes may have no effect on short-term prognosis of patients with AF-related stroke. However the patients complicated with massive cerebral infarction are prone to poor prognosis.
作者
许北柱
李丽萍
叶少武
XU Beizhu;LI Liping;YE Shaown(Department of Cardiovascular Medicine, The People＇s Hospital of Wuzhou City, Wuzhou 543000;Department of Geriatric Medicine, The First Aff＇diated Hospital of Guangxi Medical University, Nanulng 530021, China)
出处
《华夏医学》
CAS
2018年第2期6-10,共5页
Acta Medicinae Sinica
关键词
心房颤动
缺血性脑卒中
高血压
atrial fibrillation
ischemic stroke
hypertension
