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目的探讨心房颤动(简称房颤)患者脑梗塞的危险因素。方法216例心房颤动患者中,房颤合并脑梗塞组60例,房颤无脑梗塞组156例,回顾性分析脑梗塞发生的危险因素。结果房颤合并脑梗塞组年龄明显高于对照组(P<0.05),且患病率随年龄增长而明显增加,年龄≥75岁、高血压病史、冠心病病史、高血糖、高胆固醇、高纤维蛋白原血症、左房直径>50mm、未正规抗凝治疗是房颤性脑梗塞的危险因素。结论对合并以上危险因素的高龄房颤患者必须进行合理的抗凝治疗.
Objective To investigate the risk factors of cerebral infarction in patients with atrial fibrillation (AF). Methods A total of 216 patients with atrial fibrillation were enrolled in this study. Sixty-six patients with atrial fibrillation and cerebral infarction and 156 patients with atrial fibrillation without cerebral infarction were retrospectively analyzed for risk factors of cerebral infarction. Results The age of atrial fibrillation combined with cerebral infarction group was significantly higher than that of the control group (P <0.05), and the prevalence increased with age, age ≥75 years, history of hypertension, history of coronary heart disease, hyperglycemia, high cholesterol, high Fibrinogenemia, left atrial diameter> 50mm, non-formal anticoagulant therapy is a risk factor for atrial fibrillation in patients with cerebral infarction. Conclusion Aged patients with AF who have the above risk factors must be given proper anticoagulation therapy.