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目的探讨心房颤动住院患者的病因和药物治疗情况。方法对2009年1月～2011年3月新疆医科大学第一附属医院住院的367例心房颤动患者的临床资料进行回顾性分析。结果各族别的引起房颤的病因中,汉族以高血压、冠心病为主,而哈萨克族以风湿性瓣膜病、高血压为主。高血压(P=0.022)、风湿性瓣膜病(P=0.000)、心肌病(P=0.022)在汉、哈萨克族房颤发生病因中有统计学意义。心室率控制药物以β受体阻滞剂、地高辛使用最多;本组患者85.23%接受抗血栓治疗,其中抗血小板方法(78.64%)最多。结论该地区房颤患者病因分组、药物服用与全国及国外相关资料趋势接近。风心病、冠心病、高血压病是心房颤动(atrial fibrillationAF)的主要病因。
Objective To investigate the etiology and medication of hospitalized patients with atrial fibrillation. Methods The clinical data of 367 patients with atrial fibrillation admitted to the First Affiliated Hospital of Xinjiang Medical University from January 2009 to March 2011 were retrospectively analyzed. Results Among the causes of atrial fibrillation among ethnic groups, the Han mainly consisted of hypertension and coronary heart disease, while the Kazak ethnic group mainly consisted of rheumatic valvular disease and hypertension. Hypertension (P = 0.022), rheumatic valvular disease (P = 0.000) and cardiomyopathy (P = 0.022) were statistically significant in the causes of atrial fibrillation in Han and Kazak nationalities. Ventricular rate control drugs to beta blockers, digoxin use most; 85.23% of patients in this group received anti-thrombosis, including anti-platelet method (78.64%) the most. Conclusion The causes of atrial fibrillation patients in the region, taking drugs and national and foreign related data trends are similar. Heart disease, coronary heart disease, hypertension is the main cause of atrial fibrillationAF.