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非瓣膜性心房颤动患者并发缺血性脑卒中的多因素分析

郭一洁 王海军 陈宇翔 司全金

中国临床保健杂志2016,Vol.19Issue(1):4-7,4.
中国临床保健杂志2016,Vol.19Issue(1):4-7,4.DOI:10.3969/J.issn.1672-6790.2016.01.002

非瓣膜性心房颤动患者并发缺血性脑卒中的多因素分析

The risk factors analysis for ischemic stroke in chinese patients with nonvalvular atrial fibrillation

郭一洁 1王海军 1陈宇翔 1司全金1

作者信息

  • 1. 解放军总医院海南分院保健二科,三亚 572013
  • 折叠

摘要

Abstract

Objective To investigate the risk factors of ischemic stroke in Chinese patients with nonvalvular at-rial fibrillation.Methods According to the occurrence of ischemic stroke in three-years follow-up period among 901 pa-tients with nonvalvular atrial fibrillation were divided into two groups:Stroke group(n =39)and Non -Stroke group(n =862).Data for demographics,medical histories and complications,concurrent medications were recorded.Results the risk factors of ischemic stroke in patients with nonvalvular atrial fibrillation are age(OR =1.087,95%CI:0.240 -1.315),medical history of heart failure(OR =2.245,95%CI:1.033 -4.880),ischemic stroke or TIA(OR =5.265, 95%CI:2.545 -10.889),other systemic embolism(OR =5.034,95%CI:1.307 -19.386)and diuretic(OR =3.505, 95%CI:1.715 -7.165).While application of ARB(OR =0.316,95%CI:0.122 -0.815 )was the protective factor. Conclusion Age,medical history of heart failure,ischemic stroke or TIA,other systemic embolism and diuretic are the risk factors of ischemic stroke in patients with nonvalvular atrial fibrillation,while protective factor is ARB.

关键词

心房颤动/卒中/危险因素/Logistic 模型

Key words

Atrial fibrillation/Stroke/Risk factors/Logistic models

分类

医药卫生

引用本文复制引用

郭一洁,王海军,陈宇翔,司全金..非瓣膜性心房颤动患者并发缺血性脑卒中的多因素分析[J].中国临床保健杂志,2016,19(1):4-7,4.

基金项目

解放军总后勤部保健专项科研课题 ()

中国临床保健杂志

OACSTPCD

1672-6790

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