2013～2015年湖北地区冠心病介入诊疗趋势分析  

Analysis of the trend on the interventional diagnosis and treatment of coronary heart disease in Hubei district from 2013 to 2015

作　　者：石少波[1] 刘韬[1] 蒋学俊[1] 夏豪[1] 江洪[1] 杨波[1] 黄从新[1] Shi Shaobo Liu Tao Jiang Xuejun et al(Department of Cardiology ＆ Cardiovascular Research Institute ,Renmin Hospital of Wuhan University,Hubei Key Laboratory of Cardiology, Wuhan 430060, Chin)

机构地区：[1]武汉大学人民医院心内科武汉大学心血管病研究所心血管病湖北省重点实验室,430060

出　　处：《临床内科杂志》2016年第12期814-816,共3页Journal of Clinical Internal Medicine

基　　金：“十二五”国家科技支撑计划项目（2011BAI11B01）;中央高校自主科研项目（2042016kf0082）

摘　　要：目的探讨2013-2015年湖北地区冠心病介入诊疗的发展趋势，为本地区的冠心病防治提供依据。方法应用国家心血管疾病介入诊疗管理信息网，收集2013年1月-2015年12月湖北地区冠心病介入诊疗数据，分析3年间的变化趋势。结果2013-2015年，湖北地区经皮冠状动脉介入术（PCI）总量增加了46．3％，但3年间的年增长率（20．17％、21．25％、20．69％）比较，差异无统计学意义（P〉0．05）。PCI的手术路径中经桡动脉路径的比例逐年增加，分别为88．81％、90．74％、93．56％；急性冠脉综合征患者的比例分别为90．4J4％、89．39％、89．20％；手术并发症的发生率逐年下降，分别为0．38％、0．24％、0．16％，3年间比较差异均有统计学意义（P〈0．01）。手术死亡率分别为0．03％、0．005％、0．01％，3年间比较差异无统计学意义（P〉0．05）。3年间行PCI治疗患者的罪犯血管以左前降支最多，但比例逐年下降（P〈0．01）。对于ST段抬高性心肌梗死患者，3年间行PCI的例数呈上升趋势，其中急诊PCI的比例分别为27．28％、35．47％、41．12％．差异有统计学意义（P〈0．01）；3年间症状发作距手术的时间比较，差异无统计学意义（P〉0．05）；但到达医院距手术的时间比较，差异有统计学意义（P〈0．01）。结论2013—2015年湖北地区冠心病介入诊疗发展迅速，PCI的质量和数量均显著提高，使更多的冠心病患者受益。Objective To analyze the trend on interventional diagnosis and treatment of coronary heart disease（CHD） in Hubei district from 2013 to 2015,and to provide data for the treatment of CHD. Methods We searched the network of management information on interventional diagnosis and treatments of cardiovascular disease,collected the data of CHD in Hubei district from 2013 to 2015 and analyzed the change trend. Results From 2013 to 2015, the total amount of percutaneous coronary intervention （PCI） greatly increased by 46.3% ,however, the increasing rates during the 3 years（20. 17% ,21.25% and 20.69% ） were not significantly different （P 〉 0. 05 ）. The proportion of radial artery approach was 88.8%, 90. 7% and 93.6% ;90.44% ,89.39% and 89.20% of PCI were used in patients with acute coronary symptom. The incidence of complications were 0. 38% ,0. 24% and 0. 16% ,all with significant difference（ P 〈0.01 ）. The mortality was also maintained at low levels,0. 03%, 0. 005% and 0. 01% respectively, but without significant difference（P 〉0.05）. The left anterior descending coronary artery was the main criminal vessel, but the proportion reduced from 2013 to 2015 significantly（P 〈0.01）. The rapid increasing rate showed in the number of cases with ST segment elevation myocardial infarction performed PCI, the proportion of emergency PCI were 27.28% ,35.47% and 41.12% and the difference was significant （P 〈 0. 01 ）. The duration between arrival and operation was unsignificantly different among 3 years （P 〉 0. 05 ）. But the duration between hospitalization and operation was significantly different（P 〈 0. 01 ）. Conclusion From 2013 to 2015, there has been a rapid development in the interventional diagnosis and treatment of CHD in Hubei district ,and the total amount and quality are improved significantly,which benefit mtre patients with CHD.

关 键 词：湖北地区 冠心病 经皮冠状动脉介入术 

分 类 号：R541.4[医药卫生—心血管疾病]