住院患者扩张型心肌病临床流行病学调查分析(1)

http://www.100md.com 2017年3月5日 《医学信息》 2017年第9期

     摘要：目的 通過对234例住院的扩张型心肌病患者的临床流行病学调查分析，为扩张型心肌病的防治提供科学依据。方法 采用流行病学调查方法，以居住地类别分为两组：农业人口组(n=190)，非农业人口组(n=44)。应用SPSS19.0统计软件包进行统计结果分析，探讨扩张型心肌病住院患者的临床流行病学特点。结果 扩张型心肌病的总患病率为0.13%，两组之间差异有统计学意义。50岁以上年龄阶段的扩张型心肌病患病率80.77%，两组差异无统计学意义(P>0.05)。男∶女=2.4∶1，两组差异有显著统计学意义(P<0.01)。病毒性心肌炎与不良生活习惯两组之间差异有统计学意义(P<0.05)。两组心脏大小及射血分数无统计学意义(P>0.05)，两组心功能有显著差异(P<0.01)。结论 扩张型心肌病发病农村高于城镇，接近2倍。患者危险因素中，50岁以上男性多发，城镇男性发病高，农村女性发病高，病毒性心肌炎与不良生活习惯是可能的危险因素，城镇病毒性心肌炎比例高，农村不良生活习惯比例高。扩张型心肌病症状越重，EF值越低，心功能越差，而农村患者较城镇患者症状重，心功能差。临床流行病学特点存在城乡差异。
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    关键词：扩张型心肌病；临床流行病学；城乡差异；病毒性心肌炎

    Clinical Epidemiological Investigation of Dilated Cardiomyopathy in Hospitalized Patients

    JIA Jian-jun，PANG Yong-feng

    (Department of Cardiology，Tianshui 407 Hospital，Tianshui 741000，Gansu，China)

    Abstract：Objective To analyze the clinical epidemiological investigation on 234 cases of dilated cardiomyopathy patients，provide scientific basis for the prevention of dilated cardiomyopathy.Methods Epidemiological investigation method，taking the residence categories are divided into two groups： agricultural population group(n=190)，non agricultural population group(n=44).SPSS19.0 statistical package was used for statistical results analysis on the epidemiological and clinical characteristics of dilated cardiomyopathy in patients with dilated cardiomyopathy.Results The total prevalence of dilated cardiomyopathy was 0.13%，there was a significant difference between the two groups.The prevalence of dilated cardiomyopathy was 80.77% in the age group over 50 years old，there was no significant difference between the two groups(P> 0.05).Male：female=2.4：1，the difference between the two groups was statistically significant(P<0.01).There was significant difference between viral myocarditis and bad habits(P<0.05).There was no significant difference in cardiac function and ejection fraction between the two groups(P>0.05)，there were significant differences in cardiac function between the two groups(P<0.01).Conclusion The incidence of dilated cardiomyopathy in rural areas than in towns，close to 2 times.Patients with risk factors，50 men over the age of multiple towns，male high，women in rural areas of high incidence of viral myocarditis，and bad habits may be the risk factors of viral myocarditis than cases， urban，rural lifestyle.A high proportion of expansion cardiomyopathy more severe symptoms，the lower the EF value，the worse of heart function，while patients in rural areas than urban patients symptoms，poor heart function.There are differences between rural and urban characteristics of clinical epidemiology., 百拇医药(贾建军 庞永峰)

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