2017—2021年广州市心力衰竭流行特征及趋势分析  

Epidemic characteristics and trend analysis of heart failure in Guangzhou in 2017-2021

作　　者：杨韵鸥 郑睦锐[1] 林国桢[1] 吴家刚[1] YANG Yunou;ZHENG Murui;LIN Guozhen;WU Jiagang(Guangzhou Center for Disease Control and Prevention,Guangzhou,Guangdong 510440,China)

机构地区：[1]广州市疾病预防控制中心,广东广州510440

出　　处：《公共卫生与预防医学》2023年第5期47-51,共5页Journal of Public Health and Preventive Medicine

基　　金：广州市卫生健康科技项目(20211A010052)。

摘　　要：目的了解广州市心力衰竭流行特征,为开展防控工作提供依据。方法收集广州市2017年1月1日至2021年12月31日因心衰入院的患者信息,用t检验、秩和检验、χ^(2)检验进行集中趋势、构成比的差异分析。结果2017—2021年广州市因心衰住院患者6823人、8716人次,死亡849人,平均住院年龄78.50±10.48岁,男性小于女性(P<0.001),女性平均死亡年龄较男性晚3.86年(P<0.001);男性(4251人次,占48.77%)少于女性(4465人次,占51.23%),城市户籍(7346人次,占84.28%)远多于农村户籍(1370人次,占15.72%),第四季度入院人数最多,冠心病、高血压、2型糖尿病、慢性阻塞性肺疾病、高脂血症合并率分别为58.65%、69.52%、34.92%、10.69%、10.23%。急、慢性心衰患者在入院年龄、户籍、住址所在区、合并症多方面差异均有统计学意义(P<0.05)。结论广州市心衰患者病死率高,急、慢性心衰分布差异有统计学意义,应针对不同人群采取相应预防措施,降低疾病负担,提高生存质量。Objective To understand the epidemic characteristics of heart failure in Guangzhou,and to provide a basis for the prevention and control of heart failure.Methods The information of patients hospitalized for heart failure in Guangzhou from January 1,2017 to December 31,2021 was collected,and t test,rank sum test,and X^(2) test were used to analyze the differences of central tendency and composition ratio.Results From^(2)017 to 2021,there were 6823 hospitalized patients with heart failure in Guangzhou,with 8716 hospitalizations and 849 deaths.The average age of hospitalization was 78.50±10.48 years old.Male patients were younger than female patients(P<0.001),and females died 3.86 years later than males on average(P<0.001).The number of hospitalizations for males(4251 person times,accounting for 48.77%)was less than that for females(4465 person times,accounting for 51.23%),and the number of hospitalizations for urban registered residence(7346 person times,accounting for 84.28%)was much more than that for rural registered residence(1370 person times,accounting for 15.72%).The number of hospitalizations in the fourth quarter was the largest.The combined rates of coronary heart disease,hypertension,type 2 diabetes,chronic obstructive pulmonary disease and hyperlipidemia were 58.65%,69.52%,34.92%,10.69%and 10.23%respectively.There were differences in age,registered residence,residential area and complications among patients with acute and chronic heart failure(P<0.05).Conclusion The mortality of patients with heart failure in Guangzhou is high,and the distribution characteristics of acute and chronic heart failure is different.Corresponding preventive measures should be taken for different groups to reduce the disease burden and improve the quality of life.

关 键 词：心力衰竭 住院患者 流行特征 

分 类 号：R181[医药卫生—流行病学]