急诊老年房颤患者焦虑及其危险因素的分析

刘畅; 刘元生

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急诊老年房颤患者焦虑及其危险因素的分析

临床研究 | 更新时间：2025-10-15

- 急诊老年房颤患者焦虑及其危险因素的分析
- Analysis of anxiety and possible risk factors in elderly patients with atrial fibrillation in emergency department
- 临床心电学杂志 2021年30卷第1期页码：12-15
- 作者机构：
  
  北京大学人民医院
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R541.75
- 纸质出版：2021
- 稿件说明：
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[1]刘畅,刘元生.急诊老年房颤患者焦虑及其危险因素的分析[J].临床心电学杂志,2021,30(01):12-15.

Liu chang, Liu yuansheng. Analysis of anxiety and possible risk factors in elderly patients with atrial fibrillation in emergency department[J]. 2021, 30(1): 12-15.
[1]刘畅,刘元生.急诊老年房颤患者焦虑及其危险因素的分析[J].临床心电学杂志,2021,30(01):12-15. DOI：

Liu chang, Liu yuansheng. Analysis of anxiety and possible risk factors in elderly patients with atrial fibrillation in emergency department[J]. 2021, 30(1): 12-15. DOI：

摘要

目的了解急诊老年房颤患者的焦虑情况

并探讨急诊老年心房颤动患者产生焦虑的可能危险因素

为老年房颤患者的慢病管理提供理论依据。方法根据纳入及排除标准

连续入选2018年4月1日至6月1日期间于北京大学人民医院急诊科就诊的老年房颤患者67例

其中男性30例

女性37例。收集患者一般情况及既往病史资料

并采用Zung焦虑自评量表（SAS）对其焦虑程度进行评价

并收集血生化指标乳酸脱氢酶、α-羟丁酸脱氢酶、肌酸激酶、葡萄糖、尿素、肌酐、尿酸、白蛋白、血钠、血钾、D-二聚体、超声心动图检查结果。根据SAS评分将其分为焦虑组和非焦虑组。计算急诊老年房颤患者中焦虑状态的患病率;采用单因素和多因素logistic回归分析房颤患者焦虑的可能相关因素

采用ROC曲线分析方法分析各临床因素对焦虑的预测和诊断价值。结果急诊老年房颤患者中焦虑状态的患病率高达50.75%。焦虑组的尿酸水平、合并胃食管反流的人数明显高于非焦虑组

差异具有统计学意义（p<0.05）。多元logistic回归分析显示

尿酸是焦虑的独立危险因素。但尿酸不能单独作为焦虑的诊断依据。结论在急诊老年房颤患者中

尿酸升高是老年房颤患者发生焦虑的可能危险因素。

Abstract

Objective In order to understand the anxiety and possible risk factors of anxiety in elderly patients with atrial fibrillation in emergency department. Furthermore

it provides a theoretical basis for chronic disease management in elderly patients with atrial fibrillation. Methods According to the inclusion and exclusion criteria

67 elderly patients with atrial fibrillation who were admitted to the emergency department of Peking University People’s Hospital from April 1

2018 to June 1

2018 were continuously selected

including 30 males and 37 females. The patient’s general condition and previous medical history data were collected

and the degree of anxiety was assessed by using the Zung Self-Rating Anxiety Scale（SAS）. Other blood biochemical indicators including lactate dehydrogenase

α-hydroxybutyrate dehydrogenase

creatine kinase

glucose

urea

creatinine

uric acid

albumin

serum sodium

serum potassium

D-dimer and echocardiography results etc. are also collected. According to SAS score

they are divided into anxiety group and non-anxiety group. Calculate the prevalence of anxiety in elderly patients with atrial fibrillation in emergency department; Single factor and multivariate logistic regression were used to analyze the possible related factors of anxiety in patients with atrial fibrillation

and the ROC curve was used to analyze the critical value of uric acid. Results The levels of uric acid and the number of people with gastroesophageal reflux in the anxiety group were significantly higher than those in the non-anxiety group

and the difference was statistically significant（p<0.05）. Multiple logistic regression analysis showed that uric acid was an independent risk factor for anxiety. Uric acid alone cannot be used as a diagnostic basis for anxiety. Conclusions The prevalence of anxiety in elderly patients with atrial fibrillation in emergency department is as high as 50.75%. In emergency elderly patients with atrial fibrillation

elevated uric acid may be a possible risk factor for anxiety in elderly patients with atrial fibrillation.

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