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目的探讨老年心房颤动(房颤)的相关基础疾病、卒中危险因素及抗凝治疗现状。方法回顾性分析阜阳市人民医院住院的88例老年房颤患者的临床资料。结果高血压病49例(55.7%),心力衰竭28例(31.8%),慢性支气管炎28例(31.8%),冠心病虽统计50例(56.8%),但实际能确诊者13例(14.8%)。86例(97.7%)属卒中高危患者。84例(95.4%)同时伴有两个以上的卒中危险因素,卒中患者22例,平均每例伴3.6个危险因素,非卒中患者66例,平均每例伴2.6个危险因素。使用华法林抗凝4例,78例使用阿司匹林,剂量75～100mg/d。结论老年房颤同时伴有多种相关基础疾病,以高血压病居多,冠心病大多仅为临床诊断。老年房颤常有多个卒中危险因素,但华法林抗凝治疗率低,阿司匹林使用剂量不足。
Objective To investigate the related underlying diseases of elderly patients with atrial fibrillation (AF), the risk factors for stroke and the current status of anticoagulant therapy. Methods The clinical data of 88 elderly patients with atrial fibrillation hospitalized in Fuyang People’s Hospital were retrospectively analyzed. Results There were 49 cases of hypertension (55.7%), 28 cases of heart failure (31.8%), 28 cases of chronic bronchitis (31.8%) and 50 cases of coronary heart disease (56.8% %). 86 cases (97.7%) were high-risk stroke patients. Eighty-four patients (95.4%) were accompanied by two or more risk factors for stroke. Twenty-two stroke patients, with an average of 3.6 risk factors per case, had 66 non-stroke patients with an average of 2.6 risk factors per case. 4 cases of warfarin anticoagulation, 78 cases of aspirin, a dose of 75 ~ 100mg / d. Conclusion Atrial fibrillation associated with a variety of underlying underlying diseases, mostly hypertension, coronary heart disease mostly only for clinical diagnosis. Atrial fibrillation in elderly patients often have multiple risk factors for stroke, but warfarin anticoagulation therapy is low, aspirin use of insufficient doses.