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目的探讨引起遵义地区老年房颤患者的危险因素。方法选取2014年12月—2015年12月来本院进行健康体检的遵义地区老年人共1 813人,进行心电图检查,房颤患者145例。计量资料比较采用t检验,计数资料比较采用χ2检验,采用Logistic回归进行影响因素分析,P<0.05为差异有统计学意义。结果老年房颤的发生与患者的年龄、冠心病、高血压、甲状腺功能亢进症及肺源性心脏病关系密切,差异均有统计学意义(均P<0.05)。多因素分析表明,年龄、冠心病、高血压和肺源性心脏病是遵义地区老年人房颤的独立危险因素(OR=0.67,95%CI为0.47~0.95;OR=1.70,95%CI为1.21~2.40;OR=1.68,95%CI为1.19~2.36;OR=1.54,95%CI为1.10~2.17)。结论年龄、冠心病、高血压和肺源性心脏病与遵义地区老年人房颤的关系密切,早期干预这些因素可以阻止房颤的发生发展。
Objective To explore the risk factors of elderly patients with atrial fibrillation in Zunyi. Methods A total of 1813 senile people from Zunyi were enrolled in our hospital from December 2014 to December 2015. ECG was performed and electrocardiogram was performed in 145 patients with atrial fibrillation. Measurement data were compared using t test, count data were compared using χ2 test, using Logistic regression analysis of influencing factors, P <0.05 for the difference was statistically significant. Results The incidence of atrial fibrillation was closely related to the age of patients, coronary heart disease, hypertension, hyperthyroidism and pulmonary heart disease. The differences were statistically significant (all P <0.05). Multivariate analysis showed that age, coronary heart disease, hypertension and pulmonary heart disease were independent risk factors for AF in elderly patients in Zunyi (OR = 0.67, 95% CI 0.47 ~ 0.95; OR = 1.70, 95% CI 1.21 to 2.40; OR = 1.68, 95% CI 1.19 to 2.36; OR = 1.54, 95% CI 1.10 to 2.17). Conclusion Age, coronary heart disease, hypertension and pulmonary heart disease are closely related to atrial fibrillation in the elderly in Zunyi area. Early intervention of these factors can prevent the occurrence and development of atrial fibrillation.