481例非瓣膜病房颤患者IS危险因素分析

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481例非瓣膜病房颤患者IS危险因素分析

更新时间：2025-10-15

- 481例非瓣膜病房颤患者IS危险因素分析
- Issue 6, Pages: 416-419(2015)
- 作者机构：
  
  1. 贵州医科大学
  2. 贵州医科大学附属医院心血管内科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R541.75
- Published：2015
- 稿件说明：
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[J]. 2015, (6): 416-419.
DOI：

[J]. 2015, (6): 416-419. DOI：

摘要

目的探讨非瓣膜病房颤(NVAF)患者发生缺血性脑卒中(IS)的危险因素。方法回顾分析我院住院的NVAF患者相关临床资料

分析其IS发生的高危因素。结果 481例NVAF患者IS发生率14.55%

华法林使用率23.07%

INR达标率6.44%。多因素Logistic回归模型分析显示:高龄(OR=3.003

p=0.003)、高血压(OR=1.953

p=0.016)、糖尿病(OR=2.153

p=0.007)、左心室收缩功能减退(OR=2.201

p=0.005)、左房增大(OR=2.128

p=0.007)、持续性房颤(OR=2.309

p=0.014)是IS发生的高危因素。结论 NVAF合并高龄、高血压、糖尿病、左房增大、左心室收缩功能减退、持续性房颤增加IS的发生率。本地区INR达标率极低。

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references

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