ABSTRACT
Objective To analyze the anticoagulation in patients with atrial fibrillation.Methods A retrospective analysis of anticoagulant therapy situation in 926 patients with atrial fibrillation was conducted,in order to sum up experience and improve the understanding of atrial fibrillation.Results In 926 patients with atrial fibrillation,there were no anticoagulant therapy in 675 patients,accounting for 72.89%,while only 251 cases received the treatment of anticoagulation,accounting for 27.11%.Only 66 patients aged>75 years were treated with anticoagulant therapy,accounting for 33.17%.The patients with coronary heart disease,in 17.60% and with anticoagulation treatment,the patients with diabetes in 28.37% and received anticoagulation therapy,28.32% patients with anticoagulation therapy in patients with hypertension,30.77% patients with cardiac insufficiency with anticoagulant therapy.Choice of treatment of aged>75,hypertension,coronary heart disease,clinical treatment strategies and patients were the main factors that affected the use of warfarin,but only>75 years of age,coronary heart disease,choice of treatment factors with statistical significance of three factors(OR=7.02,12.73,4.79,all P<0.05).675 cases without anticoagulant therapy in 101 patients with non warfarin treatment indications without the use of warfarin anticoagulation treatment,accounted for 14.96%.In addition,there were 574 AF patients with warfarin treatment indications and treatment with warfarin,analysis of its causes:63 cases had anticoagulant contraindications,172 cases for the doctor too much about bleeding complications,440 patients were not in accordance with the requirements of the detection of INR.Conclusion The positive effect of warfarin in prevention of ischemic stroke,but in basic hospital application of warfarin anticoagulation in patients with severe AF deficiency,should raise the awareness of risk of grassroots medical staff and patients of atrial fibrillation complicating embolism,do a good job of educating patients,to reduce the incidence of embolic events in patients with atrial fibrillation.
ABSTRACT
Malaria appears to have been all but eradicated from certain areas of Sichuan Province mainly as a consequence of draining a sufficient proportion of rice paddy fields. The two main malaria vectors, both members of the Anopheles hyrcanus group, breed prolifically in rice paddy fields, which farmers have traditionally kept flooded all year round to ensure an adequate water supply. Over the last three decades, the irrigation network has been gradually extended, thus ensuring water security and increasing the area of arable land that could be farmed by intermittent wet/dry irrigation (IWDI). In addition, rice fields that had been left flooded but fallow throughout the winter are now under an annual cycle of wet crop/dry crop rotation (WDCR) to maximise productivity. Accordingly, vector breeding has been greatly reduced. It would appear that vector populations have now fallen below the level required to sustain malaria transmission.
