1 032例心房纤颤患者临床分析

目的：探讨内科住院患者不同临床病因、性别、族别心房纤颤（房颤）的发生情况.方法：回顾性分析1 032例房颤患者的临床资料,分析其临床病因、性别、族别构成以及不同病因房颤患者的性别、族别构成.结果：1 032例房颤患者中,高血压病、冠心病、风湿性瓣膜病分别占21.03%,8.82%,5.62%;男性、女性分别占57.85%,42.15%;汉族、维吾尔族、哈萨克族、回族及其他民族分别占65.31%、25.68%、4.26%、3.49%、1.26%.从房颤的病因看,瓣膜病、心肌疾病、甲状腺功能亢进、高血压病、肺源性心脏病、冠心病房颤发生率依次为： 23.58%（58/246）、8.22%（6/73）、4.11%（40/974）、2.57%（217/8 442）、2.37%（26/1 095）、2.08%（92/4 374）.结论：房颤发生可能存在性别和民族差异,男性高于女性,哈萨克族高于汉族、回族、维吾尔族族等民族;瓣膜病房颤发生率高于非瓣膜病房颤;高血压病房颤发生率较冠心病高.

The clinical analysis of 1 032 patients with atrial fibrillation

Objective: To investigate the situation of patients with atrial fibrillation (AF) who had hospitalized at different pathogenesis, sex and nation. Methods: The proportion of 1 032 patients with atrial fibrillation were analysised at different pathogenesis ,sex and nation. Results: Among 1 032 patients with atrial fibrillation, the proportion of hypertension, coronary heart disease, and valvular heart disease were respectively 21.03%, 8.82%, 5.62%; the proportion of male and female were 57.85%, 42.15%; the proportion of Han, Uigur, Kazak, Hui race and others were respectively 65.31%, 25.68%, 4.26%, 3.49% and 1.26%; at pathogenesis, the ratio of valvular heart disease, cardiomyopathy, hyperthyroidism, hypertention, corpulmonale and coronary heart disease with AF were respectively 23.58%(58/246), 8.22%(6/73), 4.11%(40/974), 2.57%(217/8 442), 2.37%(26/1 095), 2.08% (92/4 374). Conclusions: The possible differences of atrial fibrillation were found at different sex and nations, AF in male was higher than in female; the ratio of Kazak with AF was more than Uigur, Hui and others; the ratio of valvular heart disease with AF was higher than non- valvular heart disease, the ratio of hypertension with AF was higher than coronary heart disease.