10 308例心血管病住院患者病因及死因构成分析
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Analysis of disease constitution and death cause of 10 308 hospitalized patients with cardiovascular diseases
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    摘要:

    目的:分析心血管内科住院患者的心血管疾病构成情况和死亡原因,为心血管病的临床和科研工作提供流行病学依据。方法:对2011年1月至2012年12月期间在本科室出院的患者进行回顾性调查,将患者分为44岁以下组、45~59岁组、60~75组和75岁以上4组,统计分析各组患者住院病因的构成比,死亡患者的根本病因构成比和心衰、心源性猝死在直接死因中的构成比。结果:10 308例患者中男性5 096例,女性5 212例,年龄(65.16±14.37)岁。住院病因构成比前3位分别是冠心病4 256例(41.29%)、高血压病2 803例(27.19%)、心律失常1 073例(10.41%)。男性与女性病因构成比前3位与总体一致。各年龄段病因构成比不同,12~44岁组前3位分别是心律失常、高血压病和病毒性心肌炎,45~49岁组和60~74岁组前3位与总体一致,75~105岁组前3位分别是冠心病、高血压病和病态窦房结综合征。患者死亡117例,死亡率1.14%,根本死因前3位分别是冠心病71例(60.68%)、高血压病17例(14.53%)、风湿性心脏病15例(12.85%)。直接死因为心衰的62例(52.99%)、心源性猝死33例(28.21%)。结论:冠心病和高血压病是导致本地区心血管病患者住院的主要原因和死亡原因,应加强防控。

    Abstract:

    Objective:To analyze the disease constitution and death cause of hospitalized patients with cardiovascular diseases and to offer some epidemiology evidences for clinic and research of cardiology. Methods:Patients discharged from the cardiology department of the First Affiliated Hospital of Chongqing Medical University from January 2011 to December 2012 were retrospectively investigated and were divided into 4 groups:aged below 44,aged 45 to 59,aged 60 to 74 and aged over 75. Their disease constitution,death cause and proportion of heart failure and sudden cardiac death were analyzed. Results:There were 5 096 male and 5 212 female patients and the average age was (65.16±14.37) years. The top three diseases leading to hospitalization were coronary heart disease(CHD),hy-pertension and arrhythmia with constituent ratios of 41.29%,27.19% and 10.41% respectively. The top three diseases leading to hos-pitalization were similar between males and females,but different among different age groups:in 12-44 age group,the top three dis-eases were arrhythmia,hypertension and vital myocarditis;the top three diseases were the same between 45-49 age group and 60-74 age group;in 75-105 age group;the top three diseases were CHD,hypertension and sick sinus syndrome. There were 117 deceased among 10 308 inpatients and the mortality was 1.14%. The top three death cause diseases were CHD(71 cases,60.68%),hyperten-sion(17 cases,14.53%),rheumatic heart disease(15 cases,12.85%). The direct death causes diseases were heart failure(62 cases,52.99%) and sudden cardiac death(33 cases,28.21%). Conclusions:CHD and hypertension are the leading causes of hospitalization and death of patients with cardiovascular diseases,which should be better prevented and controlled.

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易光兆,罗素新,周泓羽,沈 健,范青丹,文俊杰.10 308例心血管病住院患者病因及死因构成分析[J].重庆医科大学学报,2013,(11):1378-1381

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  • 在线发布日期: 2014-09-23
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