新疆维吾尔自治区哈萨克族人群心房颤动流行病学调查  

The prevalence and distributing feature of atrial fibrillation in Xinjiang Uygur Autonomous Region Kazaks adult population

作　　者：卢武红[1] 木胡牙提[2] 刘志强[2] 杨玉春[2] 何鹏义[2] 严鸿雁[2] 加美拉[2] 古丽扎[2] 孔巴提[2] 沙根德克[1] 

机构地区：[1]新疆医科大学第一附属医院心研所新疆重大疾病医学重点实验室-省部共建国家重点实验室培育基地,乌鲁木齐830054 [2]新疆医科大学第一附属医院综合心脏内科

出　　处：《中华内科杂志》2012年第9期674-676,共3页Chinese Journal of Internal Medicine

基　　金：基金项目：国家自然科学基金（81060017）;新疆维吾尔自治区自然科学基金（200821149）

摘　　要：目的了解新疆维吾尔自治区（简称新疆）哈萨克族成年人心房颤动（房颤）的患病率和流行病学特征。方法应用四阶段整群随机抽样方法，在新疆塔城、伊犁和阿勒泰地区抽取具有代表性的样本。采用询问房颤病史、记录每个人心电图及体检的方法确定房颤的诊断。结果共抽样调查30～89岁之间新疆地区哈萨克族成年人22514例，房颤患病率为0．37％。年龄分组显示患病率有随年龄增高而增加的趋势。男性房颤患病率高于女性（0．59％比0．20％，P〈0．01）。房颤患者中瓣膜性房颤23例（27．8％）；卒中以缺血性卒中为主，房颤患者卒中率明显高于非房颤人群（6．0％比1．2％，P〈0．01）。结论新疆哈萨克族成年人群房颤患病率低于国内水平，且服药情况十分不理想，需要加强对房颤的控制。Objective To investigate the prevalence and distributing feature of atrial fibrillation （AF） in Xinjiang Kazaks adult population. Methods Four-stage selected random samples aged 30-89 years from Tacheng, Yili and Aletai were analyzed. An epidemical study of AF was performed including inquiring medical history, recording electrocardiogram and auscultation. Results A total of 22 514 adults were surveyed. The prevalence of AF in Xinjiang Kazaks adult population was 0. 37% , which was increasing with aging. The prevalence was higher in men than in women （0. 5 % vs 0. 2% , P 〈 0. 01 ） . In AF patients, 23 was valvular AF. Ischemic stroke was the most frequent type and the stroke rate in the patients with AF was significantly higher than that without AF （ 6.0% vs 1.2% , P 〈 0. 01 ）. Conclusions The prevalence of AF in Xinjiang Kazaks adult population is lower than the reported national prevalence but patients with AF in this population would not like to take the necessary medicine. Therefore, the control of AF need to be reinforced.

关 键 词：心房颤动 流行病学 哈萨克族 

分 类 号：R541.7[医药卫生—心血管疾病]