国际老年医学杂志Issue(4)：152-154,3.DOI:10.3969/j.issn.1674-7593.2015.04.003
高血压合并房颤患者卒中危险因素的分析
Analysis of Risk Factors of Stroke in the Patients with Hypertension Combined with Atrial Fibrillation
王雅坤 1王茹 1田斌 1尹永厚2
作者信息
- 1. 内蒙古自治区包头市第四医院心内科，包头 014030 中国
- 2. 内蒙古自治区包头医学院第二附属医院介入科，包头 014030 中国
- 折叠
摘要
Abstract
OBJECTIVE: To explore the independent risk factors of the stroke for 2 years in the patients with hypertension ( HT) combined with atrial fibrillation ( AF) . METHODS: Data of HT and AF patients were retrospectively analyzed. The 568 patients were divided into the stroke group (n=53) and the non-stroke group (n=515) according to the results of 2 year follow-up. The pre-dictors of the stroke event for 2 years were identified by uni-and multi-variate Cox regression analysis with the baseline and therapeu-tic variables. RESULTS: The incidences of stroke event for 2 years were 9. 3%. Compared with the non-stroke group, in the stroke group there were more female patients (P<0. 05), the patients were older (P<0. 01) and had higher proportion of previous history of stroke (P<0. 01). More patients received the antihypertensive treatment, anticoagulation treatment and statins therapy in the non-stroke group (P<0. 05). Multi-variate Cox regression analysis showed that age (HR=1. 044, 95%CI1. 011~1. 077), male (HR=1. 893, 95%CI1. 169 ~3. 121), previous stroke history (HR=1. 679, 95%CI1. 073 ~2. 614), and no antihypertensive treatment (HR=1. 966, 95% CI1. 009~3. 801) were independent risk factors for the 2 year stroke event in the patients with HT and AF. CONCLUSION: Age, female, previous stroke history and no antihypertensive treatment are the independent risk factors for the 2 year stroke event in patients with HT and AF.关键词
高血压/房颤/脑卒中/危险因素Key words
Hypertension/Atrial fibrillation/Stroke/Risk factors引用本文复制引用
王雅坤,王茹,田斌,尹永厚..高血压合并房颤患者卒中危险因素的分析[J].国际老年医学杂志,2015,(4):152-154,3.
