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目的探讨高龄老年人心房颤动的临床特点、防治对策和临床意义。方法选择我院78例老年房颤住院患者临床资料进行回顾性分析。结果冠心病占35.9%,高血压占21.8%,风湿性心脏病占19.2%,其他如糖尿病性心脏病等只占一部分比例;阵发性心房颤动占33.3%,持续性心房颤动占66.7%,结论老年人心房颤动常见原因是冠心病、高血压性心脏病。老年心房颤动患者持久性房颤比率高。血栓栓塞是房颤的重要并发症,抗凝治疗应得到重视。
Objective To investigate the clinical features, control strategies and clinical significance of atrial fibrillation in the elderly. Methods The clinical data of 78 elderly patients with atrial fibrillation in our hospital were retrospectively analyzed. Results Coronary heart disease accounted for 35.9%, hypertension accounted for 21.8%, rheumatic heart disease accounted for 19.2%, other such as diabetic heart disease accounted for only part of the proportion; paroxysmal atrial fibrillation accounted for 33.3%, persistent atrial fibrillation accounted for 66.7% Conclusion The common causes of atrial fibrillation in the elderly are coronary heart disease and hypertensive heart disease. Persistent AF in elderly patients with atrial fibrillation is high. Thromboembolism is an important complication of atrial fibrillation, anticoagulant therapy should be given attention.