新疆汉、维吾尔、哈萨克族慢性心力衰竭流行病学调查及其患病率研究
신강한、유오이、합살극족만성심력쇠갈류행병학조사급기환병솔연구
Incidence and distributing feature of chronic heart failure in adult population of Xinjiang
  • 万方数据
    中华心血管病杂志 중화심혈관병잡지
    Chinese Journal of Cardiology
    2010年 5期 460-464 ,共5页

    杨毅宁%马依彤%刘芬%黄定%李晓梅%黄莺%唐琪%陈邦党%马翔%谢翔%杜雷%高霞%王迎洪%古丽娜尔·白托拉%于子翔

    양의저%마의동%류분%황정%리효매%황앵%당기%진방당%마상%사상%두뢰%고하%왕영홍%고려나이·백탁랍%우자상

    心力衰竭,充血性%患病率%流行病学 心力衰竭,充血性%患病率%流行病學
    심력쇠갈,충혈성%환병솔%류행병학
    Heart failure,congestive%Prevalence%Epidemiology
    目的 了解新疆成年人慢性心力衰竭(心衰)的患病率和分布特征.方法 应用四阶段整群随机抽样法,在全疆23个市、7个地区、5个自治州抽取乌鲁木齐市、克拉玛依市、阜康市、吐鲁番地区、和田地区、伊犁哈萨克自治州等6个地区年龄在35岁以上样本,男女均衡.统计不同民族组、不同年龄组、不同性别组人群的心衰患病率,并对心衰患者合并心血管基础疾病进行分析.结果 共抽样35岁以上城市及农村游牧居民8459例,心衰患病率为1.26%;其中汉族为0.89%,维吾尔族为1.11%,哈萨克族为2.14%.男性为1.61%,女性为0.93%,男性患病率高于女性(u=2.79,P<0.05).35～44岁、45～54岁、55～64岁、65～74岁、75岁以上各年龄组的心衰患病率分别为0.29%、0.60%、1.32%、2.55%、4.10%,随着年龄增高,心衰发生的风险显著上升.107例心衰患者中合并高血压病者占63.55%,冠心病者占42.99%,糖尿病者占18.69%,心瓣膜病者占5.61%,心房颤动者占4.67%.结论 新疆心衰患病率较高,随年龄增加呈增多趋势,且存在民族差异.高血压病、冠心病、糖尿病为新疆各民族心衰患者共同合并心血管基础疾病.通过对新疆不同人群心衰的流行病学监测和调查,寻找适合新疆人文地域特点的心衰早期诊断方法和干预模式具有重大现实意义.
    목적 료해신강성년인만성심력쇠갈(심쇠)적환병솔화분포특정.방법 응용사계단정군수궤추양법,재전강23개시、7개지구、5개자치주추취오로목제시、극랍마의시、부강시、토로번지구、화전지구、이리합살극자치주등6개지구년령재35세이상양본,남녀균형.통계불동민족조、불동년령조、불동성별조인군적심쇠환병솔,병대심쇠환자합병심혈관기출질병진행분석.결과 공추양35세이상성시급농촌유목거민8459례,심쇠환병솔위1.26%;기중한족위0.89%,유오이족위1.11%,합살극족위2.14%.남성위1.61%,녀성위0.93%,남성환병솔고우녀성(u=2.79,P<0.05).35～44세、45～54세、55～64세、65～74세、75세이상각년령조적심쇠환병솔분별위0.29%、0.60%、1.32%、2.55%、4.10%,수착년령증고,심쇠발생적풍험현저상승.107례심쇠환자중합병고혈압병자점63.55%,관심병자점42.99%,당뇨병자점18.69%,심판막병자점5.61%,심방전동자점4.67%.결론 신강심쇠환병솔교고,수년령증가정증다추세,차존재민족차이.고혈압병、관심병、당뇨병위신강각민족심쇠환자공동합병심혈관기출질병.통과대신강불동인군심쇠적류행병학감측화조사,심조괄합신강인문지역특점적심쇠조기진단방법화간예모식구유중대현실의의.
    Objective To investigate the prevalence and distributing feature of chronic heart failure (CHF) in adult population of Xinjiang. Methods Four-stage random sampling method was used to analyze the prevalence and distributing feature of self-reported congestive heart failure among different nationalities in adult (35 years and over) population of Xinjiang. Sampling was collected from 6 localities ( Urumqi, Kelamayi, Fukang, Turfan Basin, Hetian, Yili Hazakh). Results A total of 8459 adults were surveyed. The prevalence of CHF was 1.26% in this cohort The prevalence of CHF was 0.89% , 1. 11% and 2. 14% * in Han, Uygur and Hazakh population, respectively ( * P <0. 05 vs. Han and Uygur). The risk of CHF was higher in the males than in the females ( 1. 61% vs. 0. 93% , u = 2. 79, P < 0. 05 ) . The prevalence of CHF increased in proportion with aging and was 0. 29% , 0. 60% , 1. 32% , 2. 55% and 4. 10% in 35 - 44, 45 - 54, 55 - 64, 65 - 74, 75 years and over age groups, respectively. Common complications of CHF were hypertension ( 63. 55% ), coronary heart disease ( 42. 99% ) , diabetes (18.69%), valvular heart disease (5.61%) and atrial fibrillation (4.67%). Conclusion The prevalence of CHF in Xinjiang was higher than the average level in China (0. 9% ) and was the highest in the Hazakh population.
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