论文部分内容阅读
目的观察病态窦房结综合征患者心房颤动负荷与红细胞分布宽度(RDW)的关系。方法选择病态窭房结综合征植入永久性人工心脏起搏器的患者81例,回顾性分析患者入院时基本资料、血常规及生化指标。记录术后3个月起搏器记录的心房颤动负荷。根据患者心房颤动负荷分为高负荷组及低负荷组,比较分析两组患者RDW及相关临床资料。结果心房颤动高负荷组患者RDW(15.61±1.23)%,高血压比例71%,明显高于低负荷组的(13.50±1.03)%、46%(P<0.01或0.05)。高负荷组左心房直径、左心室舒张末期内径、WBC、TG、TC均大于低负荷组(P<0.01或0.05)。心房颤动负荷影响因素的logistic回归分析显示,RDW是心房颤动负荷高的预测因素(OR=10.32,P<0.01)。高TG、高血压、高胆固醇也是心房颤动高发的预测因素。结论心房颤动负荷除与年龄,高血压有关外,还与RDW明显相关。RDW可成为病态窦房结综合征患者心房颤动负荷的预测因素之一。
Objective To observe the relationship between atrial fibrillation load and erythrocyte distribution width (RDW) in patients with sick sinus syndrome. Methods 81 cases of patients with pathological syndrome of nocturnal bradycardia syndrome implanted permanent artificial pacemaker were retrospectively analyzed. The basic data, blood routine and biochemical indexes were retrospectively analyzed. Atrial fibrillation recordings were recorded for the pacemaker at 3 months postoperatively. Patients were divided into high-load group and low-load group according to their atrial fibrillation load. RDW and related clinical data were compared between the two groups. Results RDW (15.61 ± 1.23)% and hypertension (71%) were significantly higher in high load group than in low load group (13.50 ± 1.03)% and 46% (P <0.01 or 0.05), respectively. Left atrial diameter, left ventricular end-diastolic diameter, WBC, TG and TC in high-load group were higher than those in low-load group (P <0.01 or 0.05). Logistic regression analysis showed that RDW was a predictor of atrial fibrillation (OR = 10.32, P <0.01). High TG, high blood pressure, high cholesterol is also a predictor of high rates of atrial fibrillation. Conclusions Except for age and hypertension, the load of atrial fibrillation is also significantly related to RDW. RDW can be one of the predictors of atrial fibrillation load in patients with sick sinus syndrome.