【作者】 才层；

【导师】 布艾加尔·哈斯木； 汤宝鹏；

【作者基本信息】 新疆医科大学 ， 内科学， 2009， 硕士

【摘要】 目的:调查慢性心力衰竭(心衰)住院患者的流行病学现状,为心衰的防治提供依据。方法:对168例病历慢性心衰住院患者临床资料进行横断面调查研究。结果:(1) 168例患者中男性58.9%,女性41.1%,性别之间有统计学差异(P<0.05)。心功能I ~IV级分别所占比例依次为:13.%,30.9%,36.3%,19.1%,心功能III级患者最多。汉族55.9%,少数民族44.1%。平均年龄58.34±15.72岁,在60-69岁年龄段发病人数最多。平均住院天数11.08±7.51天,随着心功能分级程度增加,住院天数延长。(2)主要病因:冠状动脉粥样硬化性心脏病34.5%;高血压性心脏病13.1%;心肌病13.1%;风湿性心脏瓣膜病12.5%;肺源性心脏病11.3%。(3)感染是最重要的诱发因素占68.5%。(4)心衰功能学指标平均左心室射血分数42.01±15.35(%),平均左心室舒张末期内径61.42±13.67(mm)。(5)住院期间用药血管紧张素转换酶抑制剂(ACEI)和利尿剂的使用在80%以上,硝酸酯类和洋地黄的使用在60%以上。(6)住院期间总死亡率为10.1%。结论:慢性心衰住院患者男性多于女性;心功能I ~IV级分别所占比例中心功能III级患者最多;主要原发病因为冠心病,高血压,心肌病;住院诱因主要是感染;心衰的用药以ACEI和利尿剂等治疗为主;住院期间总死亡率为10.1%,死因为泵功能衰竭及猝死等。更多还原

【Abstract】 Objectives: To evaluate the epidemiological status with chronic heart failure (CHF) of hospitalized patients, in order to provide a basis for prevention and treatment for heart failure. Methods:To carry out cross-sectional study with 168 clinical data of patients cases. Results:(1)There are 58.9% male and 41.1% female patients in 168 cases ,and significant difference between gender (P <0.05). The proportion of Cardiac function in I ~ IV class as follows: 13.%, 30.9%, 36.3%, 19.1%. there are 55.9% of Chinese and 44.1% of minorities. The average age of 58.34±15.72 years old, the largest number of incidence during the 60-69 age group. The average stay days in hospital with 11.08±7.51 days, and with the increase of cardiac function, stay day in hospital extended.(2) Cause of CHF: There are 34.5% of coronary atherosclerotic heart disease, 13.1% in hypertensive heart disease and same with cardiomyopathy ,12.5% of rheumatic valvular heart disease and 11.3% of pulmonary heart disease.(3)Infection is the most important predisposing factor and its accounted for 68.5%.(4) The average LVEF are 42.01±15.35 (%) and LVEDV 61.42±13.67 (mm).(5) ACEI and Diuretic used at more than 80%, Nitrates and digitalis used at more than 60%.(6) the general death rate is 10.1%.Conclusions:The male sex more than female during CFH hospitalized patients, the patient of third level heart function is the most; Main casea of CHF are coronary heart disease,hypertension,cardiac muscle and so on; infection is mainly case of CHF patients in hospital; The use medicine declining cures the heart with ACEI and Diuretic given the most; The general death rate is 10.1% during in hospital.更多还原