我国社区非瓣膜性心房颤动患者抗凝治疗的管理现状

摘要：心房颤动是最常见的心律失常之一，卒中是其最严重的并发症。抗凝治疗可极大程度上减少房颤相关脑卒中事件的发生。对于房颤患者，分级诊疗制度的推行使得基层机构已逐渐成为其就医的首要选择。本文主要综述我国社区非瓣膜性房颤患者抗凝治疗的现状，旨在加强临床对房颤患者抗凝治疗社区管理的重视。

关键词：心房颤动;社区管理;抗凝治疗

中图分类号：R541                                   文献标识码：A                                 DOI：10.3969/j.issn.1006-1959.2023.07.037

文章编号：1006-1959（2023）07-0180-04

Management Status of Anticoagulant Therapy for Patients with Nonvalvular Atrial Fibrillation

in Community of China

LI Hao-yang1，2，ZHANG Bei1，WU Jiang3，YAN Qin-qin4

（1.Department of Neurology，the First Affiliated Hospital of Xi'an Medical University，Xi 'an 710000，Shaanxi，China;

2.Graduate School of Xi'an Medical University，Xi'an 710000，Shaanxi，China;

3.Xi'an Hansenzhai Community Health Service Center，Xi'an 710000，Shaanxi，China;

4.Institute of General Practice，Xi'an Medical University，Xi'an 710000，Shaanxi，China）

Abstract：Atrial fibrillation is one of the most common arrhythmias， and stroke is the most serious complication. Anticoagulant therapy can greatly reduce the incidence of atrial fibrillation-related stroke events. For patients with atrial fibrillation， the implementation of the hierarchical diagnosis and treatment system has gradually made grassroots institutions the primary choice for medical treatment. This article mainly reviews the current status of anticoagulant therapy in patients with non-valvular atrial fibrillation in China， aiming to strengthen the clinical attention to the community management of anticoagulant therapy in patients with atrial fibrillation.

Key words：Atrial fibrillation;Community management;Anticoagulant therapy

心房颤动（atrial fibrillation，AF）简称房颤，是指规则有序的心房电活动丧失，代之以快速无序的颤动波。（剩余9539字）