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目的探索老年非瓣膜病房颤(NVAF)患者发生缺血性脑卒中的危险因素。方法收集近年来在我院住院的261例老年NVAF患者的临床资料,分析脑卒中发生的高危因素。结果多因素Logistic回归模型提示年龄(P=0.0203)、治疗方式(P=0.002)和高血压(P=0.0003)是老年NVAF患者发生缺血性脑卒中的高危因素。结论对合并高血压的高龄NVAF患者应进行正规的抗栓治疗以降低脑卒中发生率。
Objective To explore the risk factors of ischemic stroke in elderly patients with non-valvular atrial fibrillation (NVAF). Methods The clinical data of 261 elderly NVAF patients hospitalized in our hospital in recent years were collected to analyze the risk factors of stroke. Results Multivariate logistic regression analysis suggested that age (P = 0.0203), treatment (P = 0.002), and hypertension (P = 0.0003) were risk factors for ischemic stroke in elderly patients with NVAF. Conclusions Regular antithrombotic therapy should be taken in elderly NVAF patients with hypertension to reduce the incidence of stroke.