中国临床保健杂志2017，Vol.20Issue(1)：3-6,4.DOI:10.3969/J.issn.1672-6790.2017.01.002
高龄高血压患者红细胞分布宽度与心房颤动关系研究
Association between red blood cell distribution width and atrial fibrillation in over-age Chinese hypertensive pa-tients
摘要
Abstract
Objective To explore the relationship between red blood cell distribution width(RDW)and atrial fibrillation in overaged people with hypertension.Methods All hypertensive patients over 80 years old were enrolled. Then we measured the biochemical parameter including RDW ,ultrasound parameter such as LVEF,analyzed the differ-ence between the two group according to with or without artial fibrillation.All enrolled patients were followed up to 90 days for new-onset atrial fibrillation.Multivariate regression was carried out to find out the independent risk factors. Results RDW in patients with atrial fibrillation was significantly higher than that without atrial fibrillation (1 3.96 ± 1 3.54 VS.1 .41 ±1 .34,t =2.579,P =0.01 0).Both RDW (OR =1 .1 77,95%CI:1 .037-1 .21 3)and left atrial diame-ter (OR =1 .1 80,95%CI:1 .046-1 .330)were independent risk factors for atrial fibrillation by Logstic regression.Multi-variate regression results showed that hemoglobin level (P =0.0001 ),left ventricular ejection ejection fraction (P =0.026),combined with atrial fibrillation (P =0.004)were the independent factors of RDW levels in patients with es-sential hypertension.The 90 day follow-up results showed that the RDW level in patients with NOAF was higher than that in the controlled group,but not statistically significant (P >0.05).Conclusion In aged hypertensive patients ,RDW levels increase with the existence of atrial fibrillation and various types of atrial fibrillation exist will cause increased RDW levels,but RDW level on admission is not an independent predictor for occurrence new-onset atrial fibrillation in 90 days for hospitalized hypertensive patients.关键词
高血压/红细胞聚集/心房颤动/老年人,80 以上Key words
Hypertension/Erythrocyte aggregation/Atrial fibrillation/Aged,80 and over分类
医药卫生引用本文复制引用
孙晓楠,骆雷鸣,赵晓茜,杜瑞雪,郑瑾..高龄高血压患者红细胞分布宽度与心房颤动关系研究[J].中国临床保健杂志,2017,20(1):3-6,4.基金项目
军队保健专项科研课题 （）
