新疆不同民族心脏瓣膜病流行病学调查

安勇; 马翔; 黄莺; 马依彤; 杨毅宁; 刘芬; 王宝珠

Abstract

安勇,马翔,黄莺,马依彤,杨毅宁,刘芬,王宝珠.新疆不同民族心脏瓣膜病流行病学调查[J].Chinese journal of Epidemiology,2011,32(11):1114-1116

新疆不同民族心脏瓣膜病流行病学调查

Current status of valvular heart diseases in Xinjiang:an epidemiological study on Han,Uygur and Kazkh ethnic populations

Received:April 06, 2011 Revised:June 20, 2012

DOI：

KeyWord: 心脏瓣膜病流行病学患病率

English Key Word: Valvular heart disease Epidemiology Prevalence

FundProject:新疆维吾尔自治区重大科技专项(200733146-3)

Author Name	Affiliation	E-mail
AN Yong	新疆医科大学第一附属医院心脏中心, 乌鲁木齐	myt-xj@163.com
MA Xiang	新疆医科大学第一附属医院心脏中心, 乌鲁木齐
HUANG Ying	新疆医科大学第一附属医院心脏中心, 乌鲁木齐
MA Yi-tong	新疆医科大学第一附属医院心脏中心, 乌鲁木齐
YANG Yi-ning	新疆医科大学第一附属医院心脏中心, 乌鲁木齐
LIU Fen	新疆医科大学第一附属医院心脏中心, 乌鲁木齐
WANG Bao-zhu	新疆医科大学第一附属医院心脏中心, 乌鲁木齐

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Abstract:

目的了解新疆不同民族心脏瓣膜病(VHD)流行现状。方法采用整群抽样法，对新疆乌鲁木齐市、克拉玛依市、阜康市、吐鲁番地区、和田地区、阿勒泰地区、伊犁哈萨克自治州汉、维吾尔（维）和哈萨克（哈）族35岁以上人群心血管疾病流行病学调查。结果共随机抽取汉、维和哈族人群14618名，实际完成调查人数共14478名。共检出VHD1397人，总患病率标准化后为7.67%，其中男性为7.31%，女性为8.00%，性别差异无统计学意 (x²=0.005，P=0.943)；汉、维、哈族VHD患病率标准化后分别为10.57%、2.36%、12.22%，维族VHD患病率明显低于哈族与汉族(x²=3.90，P=0.000)；不同年龄组VHD患病率随年龄增长呈升高趋势(x²=8.932，P=0.000)；全部VHD患者中合并高血压达63.20%、糖尿病7.60%、冠心病7.50%、房颤3.20%。结论新疆成年人VHD患病率随年龄增加呈增多趋势，且存在民族差异。

English Abstract:

Objective To investigate the prevalence and epidemiological features of valvular heart disease (VHD)adult populations with different ethnicities in Xinjiang.Methods A total of 14 618 adults aged 35 or older were surveyed.Random sampling was employed to study valvular heart diseases in different age,gender and ethnic groups.Samples were collected fiom 7 localities (Urumqi, Ke lamayi,Fukang, Turfan Basin, Hetian,Altay,Yili Hazakh Autonomous Prefecture) in 23 municipalities and 5 autonomous counties in Xinjiang.The proportion of male to female accounted for 50% each.Results The overall prevalence of valvular heart diseases was 7.67% (male:7.31% vs.female: 8.00%).The prevalence rates of valvular heart diseases were 10.57%,2.36% and 12.22%in Han,Uygur and Kazakh populations,respectively. The prevalence of valvular heart diseases was lower in Uygur than in Hazak and Han ethnic populations (x²=3.90, P=0.000).Complications related to valvular heart diseases would include hypertension (63.20%),diabetes (7.60%),coronary heart disease (7.50%) and fibrillation atrial (3.20%).Conclusion The prevalence of valvular heart diseases had a substantial increase,parallel with age.Differences were seen on the prevelance rates of VHD among ethnic populations.

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