持续性房颤影响因素考察.docVIP

持续性房颤影响因素考察 　　[摘要]目的 探讨持续性房颤的相关危险因素并分析相关的临床意义。方法 选择2015年1月～2017年3月在我科住院的房颤患者169例，根据欧洲心血管病学会心律失常工作组（WGA-ESC）和北美起搏与电生理学会（NASPE）的临床分类方法分为阵发性房颤组（53例）和持续性房颤组（116例），收集患者的一般资料、实验室检查和超声心动图检查结果等，用Logistic回归分析持续性房颤发生的危险因素。结果 两组患者的性别、年龄、吸烟和饮酒率以及高血压、糖尿病、冠心病患病率等比较，差异无统计学意义（P0.05）。持续性房颤组患者的血尿酸（SUA）水平为（377.9±96.9）μmol/L，血B型脑钠肽前体（pro-BNP）水平为[1084.0（750.4，2238.3）] pg/ml，左心房内径（LAD）?椋?41.9±5.0）mm，均明显高于阵发性房颤组的（324.1±86.1）μmol/L、[175.3（99.0，529.7）] pg/ml、（35.8±5.0）mm，差异均有统计学意义（P0.001）。逐步回归分析结果提示，SUA（OR=1.005，95%CI=1.001～1.010）、pro-BNP（OR=1.329，95%CI=1.000～1.001）以及LAD（OR=1.329，95%CI=1.199～1.475）是发生持续性房颤的危险因素（P0.05）。结论 SUA、pro-BNP水平以及LAD，可能是持续性房颤发生的危险因素。 　　[关键词]心房颤动；尿酸；B型脑钠肽；左心房内径 　　[中图分类号] R541.75 [文献标识码] A [文章编号] 1674-4721（2018）4（c）-0051-04 　　Study of the risk factors related to permanent atrial fibrillation 　　ZHOU Huang YIN Yue-hui▲ 　　Department of Cardiology，the Second Affiliated Hospital of Chongqing Medical University，Chongqing 400010，China 　　[Abstract]Objective To explore the risk factors related to permanent atrial fibrillation（AF） and discuss the clinical significance.Methods A total of 169 inpatients of our department with atrial fibrillation （AF） from January 2015 to March 2017 were consecutively enrolled in this study.They were divided into paroxysmal AF group （n=53） and permanent AF group （n=116） by the consensus of WGA-ESC and NASPE.The clinical data and the results of laboratory tests and ultrasound cardiograms were collected，risk factors of AF were analyzed by logistic regression analysis.Results There were no significant differences in gender，age，smoking，drinking，hypertension，diabetes or coronary heart disease between the two groups（P0.05）.However，the levels of SUA（324.1±86.1 vs. 377.9±96.9，P0.001），pro-BNP （175.3 [99.0，529.7] vs.1084.0 [750.4， 2238.3]，P0.001）and LAD（35.8±5.0 vs. 41.9±5.0，P0.001） were higher in permanent AF group rather than in paroxysmal group.The stepwise regression analysis results were showed，SUA （OR=1.005 [1.001-1.010]，P=0.027），pro-BNP （OR=1.3