| 单春方,陈艳,马依彤,杨毅宁,刘芬,谢翔,李晓梅,黄莺,陈邦党,马翔,贺春晖.新疆不同民族老年人群心力衰竭患病率调查[J].中华流行病学杂志,2014,35(9):1007-1010 |
| 新疆不同民族老年人群心力衰竭患病率调查 |
| Incidence and distribution of chronic heart failure in the elderly from Xinjiang |
| 收稿日期:2014-04-17 出版日期:2014-09-11 |
| DOI：10.3760/cma.j.issn.0254-6450.2014.09.008 |
| 中文关键词: 心力衰竭,慢性 患病率 老年人群 流行病学 |
| 英文关键词: Chronic heart failure Prevalence Aged population Epidemiology |
| 基金项目:新疆维吾尔自治区科技支撑项目（201233138） |
| 作者 | 单位 | E-mail | | 单春方 | 830054 乌鲁木齐, 新疆医科大学第一附属医院心脏中心
公共卫生学院 | | | 陈艳 | 公共卫生学院 | | | 马依彤 | 830054 乌鲁木齐, 新疆医科大学第一附属医院心脏中心 | myt-xj@163.com | | 杨毅宁 | 830054 乌鲁木齐, 新疆医科大学第一附属医院心脏中心 | | | 刘芬 | 830054 乌鲁木齐, 新疆医科大学第一附属医院心脏中心 | | | 谢翔 | 830054 乌鲁木齐, 新疆医科大学第一附属医院心脏中心 | | | 李晓梅 | 830054 乌鲁木齐, 新疆医科大学第一附属医院心脏中心 | | | 黄莺 | 830054 乌鲁木齐, 新疆医科大学第一附属医院心脏中心 | | | 陈邦党 | 830054 乌鲁木齐, 新疆医科大学第一附属医院心脏中心 | | | 马翔 | 830054 乌鲁木齐, 新疆医科大学第一附属医院心脏中心 | | | 贺春晖 | 830054 乌鲁木齐, 新疆医科大学第一附属医院心脏中心 | |
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| 中文摘要: |
| 目的 了解新疆不同民族老年人群慢性心力衰竭（CHF）患病率及其分布特征。方法 采用整群随机抽样方法抽取乌鲁木齐等7个市（区、州）汉、维吾尔（维）、哈萨克（哈）族≥60 岁人群进行心血管病患病率及危险因素横断面调查，分析不同民族人群CHF患病率及合并CHF的基础疾病。结果 实际调查3 858人，应答率为89.14%。CHF患病率为4.30%（166/3 858，其中汉族为 2.74%，维族为5.25%，哈族为6.32%）。不同民族人群CHF患病率间的差异有统计学意义（χ2=22.62，P=0.00）。男性CHF患病率为5.50%，女性为3.13%，男性高于女性（χ2=13.65，P=0.00）。 60～、65～、70～、≥75岁年龄组CHF患病率分别为3.39%、3.68%、5.12%、6.82%，各年龄组人群患病率的差异有统计学意义（χ2=13.29，P=0.004），并随年龄增加CHF患病率呈增高趋势（χ2=12.07，P=0.001）。房颤、冠心病是CHF患病的独立危险因素（OR=5.20，95%CI：2.32～11.70和OR=5.54，95%CI：3.83～8.02）。单个心血管基础疾病合并CHF最常见为高血压（病因构成比为 30.12%），其次为冠心病（病因构成比为7.23%）。结论 新疆地区老年人群CHF患病率较高，且存在民族差异。高血压、冠心病为CHF患者共同的心血管基础疾病。 |
| 英文摘要: |
| Objective To investigate the prevalence and distribution of chronic heart failure (CHF) in the aged population of Xinjiang. Methods Four-stage random sampling method was employed in this cross-sectional study to analyze the prevalence,risk factors and combined cardiovascular diseases of heart failure among different ethnic groups in aged (≥60 years and over) population of Xinjiang. Sample of studied population was recruited from 6 different regions in Xinjiang,namely Urumqi,Karamay,Fukang,Turfan Basin,Hetian and Ili Kazakh Autonomous Prefectures. Results 3 858 participants were surveyed, with the response rate as 89.14%. The prevalence of CHF was 4.30% in this cohort,including 2.74% in Han,5.25% in Uighur and 6.32% in Kazakh ethnic groups respectively. The prevalence rates of CHF in different ethnic groups were significant different,statistically (χ2=22.62,P=0.00). Prevalence in males was 5.50%,predominant in the CHF,with females as 3.13%,and the difference between genders was significant (χ2=13.65,P=0.00). The prevalence rates of CHF increased in proportion with aging and were 3.39%,3.68%,5.12% and 6.82% in the 60-64,65-69, 70-74,75 years and over age groups,respectively. The prevalence rates of different age groups showed significant differences (χ2=13.29,P=0.004),and increased with age. The prevalence of CHF presented a rising trend (χ2=12.07,P=0.001). Results of this study showed that atrial fibrillation was an independent risk factor for CHF (OR=5.20,95%CI:2.32-11.70 and OR=5.54,95%CI:3.83-8.02). The most common combined single cardiovascular disease appeared to be hypertension(50 cases,the constituent ratio was 30.12%),followed by coronary heart disease (12 cases,7.23%). Conclusion The prevalence of heart failure in population over 60 years was high in Xinjiang,and there showed ethnic differences. Hypertension and coronary heart disease were the basic cardiovascular diseases combined with heart failure in the various ethnic groups in Xinjiang. To strengthen epidemiological study on those high risk populations related to chronic heart failure was important on the strategies of prevention and treatment to this health problem. |
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