住院患者扩张型心肌病临床流行病学调查分析.docVIP

住院患者扩张型心肌病临床流行病学调查分析 　　摘要：目的 通?^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（P0.05）。男∶女=2.4∶1，两组差异有显著统计学意义（P0.05），两组心功能有显著差异（P0.01）。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。 　　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（P0.05），there were significant differences in cardiac function between the two groups（P 　　Key words：Dilated cardiomyopathy；Clinical epidemiology；Difference between urban and rural areas；Viral myocarditis 　　扩张型心肌病住院患者人数日益增多，且预后差距较大，给社会、家庭带来巨大的经济负担及心理压力[1]。鉴于国内文献对扩张型心肌病的临床特点研究较多，而临床流行病学研究资料较少，故对我院10年来扩张型心肌病住院患者进行临床流行病学调查分析，揭示扩张型心肌病住院患者临床流行病学特点，分析发病原因、影响因素、临床特征、发病人群、城乡差异