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目的:探讨和分析持续性房颤与阵发性房颤患者出现急性缺血性脑卒中的临床风险。方法:此次研究选择我院于2013年10月1日-2016年10月1日期间收治的62例心脏病患者作为研究主体,其中23例患者为持续性房颤,设为甲组;21患者为阵发性房颤,设为乙组;18例患者不存在房颤,设为丙组。对比三组患者急性缺血性脑卒中发生情况和年龄构成、血脂指标情况。结果:甲组和乙组的急性缺血性脑卒中发生率明显高于丙组,差异对比存在统计学意义(P<0.05)。三组急性缺血性脑卒中发生年龄都在35岁之上,并且大于60岁的发生率要明显高于35-60岁间的患者(P<0.05)。甲乙两组患者的D-二聚体水平明显高于丙组患者(P<0.05);甲乙两组患者的纤维蛋白原水平明显高于丙组患者(P<0.05)。结论:持续性房颤以及阵发性房颤会增加急性缺血性脑卒中发生的风险,在临床上要给予足够的重视。
Objective: To investigate and analyze the clinical risk of acute ischemic stroke in patients with persistent atrial fibrillation and paroxysmal atrial fibrillation. METHODS: Sixty-two patients with heart disease admitted to our hospital from October 1, 2013 to October 1, 2016 were selected as the study subjects. Twenty-three of the patients were patients with persistent atrial fibrillation and were treated as Group A. 21 Patient was paroxysmal atrial fibrillation, set B; 18 patients without atrial fibrillation, set to group C. Comparison of three groups of patients with acute ischemic stroke and age composition, blood lipid indicators. Results: The incidence of acute ischemic stroke in group A and group B was significantly higher than that in group C, with significant difference (P <0.05). The incidence of acute ischemic stroke in all three groups was above 35 years old, and the incidence of those older than 60 years old was significantly higher than that of those aged 35-60 years (P <0.05). The level of D-dimer in both groups was significantly higher than that in group C (P <0.05). The levels of fibrinogen in group A and B were significantly higher than those in group C (P <0.05). Conclusion: Persistent atrial fibrillation and paroxysmal atrial fibrillation will increase the risk of acute ischemic stroke, and should be given enough attention in clinic.