某院2012～2014年老年非瓣膜性房颤合并血栓栓塞并发症患者抗凝治疗现状分析

目的：调查老年非瓣膜性心房颤动（NVAF）住院患者合并血栓栓塞并发症缺血性脑卒中、短暂性脑缺血（TIA）]的实际抗凝治疗情况。方法采用回顾性病例分析，对2012～2014年该院心血管内科的老年NVAF合并血栓栓塞并发症住院患者，分析其住院期间抗凝治疗情况及国际标准化比值（INR）监测情况，用SPSS20．0统计软件进行结果分析。结果共纳入255例老年NVAF合并血栓栓塞并发症患者，抗凝治疗66例，抗凝治疗率25．88％；抗血小板治疗157例（61．57％）。使用华法林抗凝治疗的患者，INR达标率15．15％。结论老年NVAF合并血栓栓塞并发症患者抗凝治疗率低，以抗血小板治疗为主，抗凝治疗患者住院期间IN R达标率较低。

Study on the anti coagulation therapy of non valvular atrial fibrillation elderly patients with thromboembolic complications from 2012 to 2014

Objective To investigate the present situation of anticoagulant therapy on the elderly non valvular atrial fibrilla‐tion (NVAF) hospitalized patients with thromboembolic complications ischemic stroke ,transient ischemic(TIA)] .Methods A to‐tal of 255 hospital patients in the First Affiliated Hospital of Chongqing Medical University from 2012 to 2014 were recorded by retrospective case analysis .The basic characteristics ,the risk factors of AF ,the medical treatment plan and INR monitoring were analyzed respectively with SPSS20 .0 statistical software .Results A total of 255 patients were enrolled ,66 cases (25 .88% ) were treated with anticoagulation ,and 157 cases (61 .57% ) were treated by antiplatelet drugs .In patients who were taken anticoagulant drugs ,the rate of INR was 15 .15% .Conclusion In the elderly nonvalvular atrial fibrillation patients with thromboembolic compli‐cations ,the rate of anticoagulant therapy is lower than expected .More than half patients were treated by antiplatelet drugs .The pa‐tient who were treated anticoagulation therpy had a low rate of INR standard rate .