摘要
目的探索下呼吸道感染对慢性心力衰竭患者心房颤动发病的临床影响。方法选取2013年10月至2017年10月于永煤集团总医院接受治疗的164例慢性心力衰竭患者为研究对象,按照是否发生下呼吸道感染分为感染组(n=92)和未感染组(n=72)。对患者不同时间点心房颤动发生情况进行统计,对比患者临床资料。按照患者随访期间有无发生心房颤动分为心房颤动组(n=11)和非心房颤动组(n=151),并对比两组临床指标。结果感染组患者随访期间心房颤动总发生率为10.87%,明显高于非感染组患者1.39%(P<0.05)。临床资料对比中感染组和非感染组吸烟史、心房颤动指标比较具有统计学差异(P<0.05)。心房颤动组入院呼吸频率为(22.37±10.08)次/min,入院体温为(37.51±12.33)℃,入院心率为(94.32±20.43)次/min,指标明显高于非心房颤动组入院呼吸频率(18.46±9.17)次/min,入院体温(36.62±11.46)℃,入院心率(72.55±18.64)次/min(P<0.05)。结论下呼吸道感染能够增加慢性心力衰竭患者心房颤动发生率,临床上应该预防慢性心力衰竭患者下呼吸道感染的发生,降低患者心房颤动发生率。
【Objective】To explore the clinical effect of lower respiratory tract infection on the onset of atrial fibrillation in patients with chronic heart failure.【Methods】A total of 164 patients with chronic heart failure who received treatment in our hospital from October 2013 to October 2017 were selected and divided into infection group(n=92)and uninfected group(n=72)according to whether they had lower respiratory tract infection.The patients'heart fibrillation at different time point was counted,and the clinical data of the patients were compared.The patients were divided into atrial fibrillation group(n=11)and non-atrial fibrillation group(n=151)according to whether they had atrial fibrillation during follow-up period,and two groups of clinical indexes were compared.【Results】The total incidence of atrial fibrillation in the patients of infection group was 10.87%during the follow-up period,which was significantly higher than that of non-infected patients(P<0.05).The comparison of smoking history and atrial fibrillation index in both infection group and non-infection group was statistically significant(P<0.05).In atrial fibrillation group,respiratory frequency was 22.37±10.08 times/min,body temperature was 37.51±12.33℃,and heart rate was 94.32±20.43 times/min at admission,the index was significantly higher than those in non-atrial fibrillation group(admission respiratory frequency:18.46±9.17 times/min,admission body temperature:36.62±11.46℃,admission heart rate:72.55±18.64 times/min)(P<0.05).【Conclusion】Lower respiratory tract infection can increase the incidence of atrial fibrillation in patients with chronic heart failure.It should prevent the occurrence of lower respiratory tract infection and reduce the incidence of atrial fibrillation in patients with chronic heart failure.
作者
郑艳
刘艳辉
胡杰
ZHENG Yan;LIU Yanhui;HU Jie(Department of Cardiology,Yongmei Group General Hospital,Yongcheng,Henan 476600,China)
出处
《中国医学工程》
2020年第12期56-59,共4页
China Medical Engineering
关键词
下呼吸道感染
慢性心力衰竭
心房颤动
发病影响
lower respiratory tract infection
chronic heart failure
atrial fibrillation
incidence
