中华内科杂志
中華內科雜誌
중화내과잡지
CHINESE JOURNAL OF INTERNAL MEDICINE
2012年
9期
674-676
,共3页
卢武红%木胡牙提%刘志强%杨玉春%何鹏义%严鸿雁%加美拉%古丽扎%孔巴提%沙根德克
盧武紅%木鬍牙提%劉誌彊%楊玉春%何鵬義%嚴鴻雁%加美拉%古麗扎%孔巴提%沙根德剋
로무홍%목호아제%류지강%양옥춘%하붕의%엄홍안%가미랍%고려찰%공파제%사근덕극
心房颤动%流行病学%哈萨克族
心房顫動%流行病學%哈薩剋族
심방전동%류행병학%합살극족
Atrial fibrillation%Epidemiology%Kazaks
目的 了解新疆维吾尔自治区(简称新疆)哈萨克族成年人心房颤动(房颤)的患病率和流行病学特征.方法 应用四阶段整群随机抽样方法,在新疆塔城、伊犁和阿勒泰地区抽取具有代表性的样本.采用询问房颤病史、记录每个人心电图及体检的方法确定房颤的诊断.结果 共抽样调查30 ～ 89岁之间新疆地区哈萨克族成年人22 514例,房颤患病率为0.37％.年龄分组显示患病率有随年龄增高而增加的趋势.男性房颤患病率高于女性(0.59％比0.20％,P＜0.01).房颤患者中瓣膜性房颤23例(27.8％)；卒中以缺血性卒中为主,房颤患者卒中率明显高于非房颤人群(6.0％比1.2％,P＜0.01).结论 新疆哈萨克族成年人群房颤患病率低于国内水平,且服药情况十分不理想,需要加强对房颤的控制.
目的 瞭解新疆維吾爾自治區(簡稱新疆)哈薩剋族成年人心房顫動(房顫)的患病率和流行病學特徵.方法 應用四階段整群隨機抽樣方法,在新疆塔城、伊犛和阿勒泰地區抽取具有代錶性的樣本.採用詢問房顫病史、記錄每箇人心電圖及體檢的方法確定房顫的診斷.結果 共抽樣調查30 ～ 89歲之間新疆地區哈薩剋族成年人22 514例,房顫患病率為0.37％.年齡分組顯示患病率有隨年齡增高而增加的趨勢.男性房顫患病率高于女性(0.59％比0.20％,P＜0.01).房顫患者中瓣膜性房顫23例(27.8％)；卒中以缺血性卒中為主,房顫患者卒中率明顯高于非房顫人群(6.0％比1.2％,P＜0.01).結論 新疆哈薩剋族成年人群房顫患病率低于國內水平,且服藥情況十分不理想,需要加彊對房顫的控製.
목적 료해신강유오이자치구(간칭신강)합살극족성년인심방전동(방전)적환병솔화류행병학특정.방법 응용사계단정군수궤추양방법,재신강탑성、이리화아륵태지구추취구유대표성적양본.채용순문방전병사、기록매개인심전도급체검적방법학정방전적진단.결과 공추양조사30 ～ 89세지간신강지구합살극족성년인22 514례,방전환병솔위0.37％.년령분조현시환병솔유수년령증고이증가적추세.남성방전환병솔고우녀성(0.59％비0.20％,P＜0.01).방전환자중판막성방전23례(27.8％)；졸중이결혈성졸중위주,방전환자졸중솔명현고우비방전인군(6.0％비1.2％,P＜0.01).결론 신강합살극족성년인군방전환병솔저우국내수평,차복약정황십분불이상,수요가강대방전적공제.
Objective To investigate the prevalence and distributing feature of atrial fibrillation (AF) in Xinjiang Kazaks adult population.Methods Four-stage selected random samples aged 30-89 years from Tacheng,Yili and Aletai were analyzed.An epidemical study of AF was performed including inquiring medical history,recording electrocardiogram and auscultation. Results A total of 22 514 adults were surveyed.The prevalence of AF in Xinjiang Kazaks adult population was 0.37％,which was increasing with aging.The prevalence was higher in men than in women (0.5％ vs 0.2％,P ＜0.01 ).In AF patients,23 was valvular AF.Ischemic stroke was the most frequent type and the stroke rate in the patients with AF was significantly higher than that without AF (6.0％ vs 1.2％,P ＜ 0.01 ).Conclusions The prevalence of AF in Xinjiang Kazaks adult population is lower than the reported national prevalence but patients with AF in this population would not like to take the necessary medicine. Therefore,the control of AF need to be reinforced.
