摘要
目的探讨江苏省无锡市不同人群心律失常发病现状和相关因素,提高临床诊疗效果。方法回顾性分析2007～2011年750例体检者的临床资料,分析心律失常的发病率,发病率最高的3种心律失常类型、男性和女性心律失常检出率的区别,发病率与年龄分布的关系,以及与未检出心律失常患者基础病的比较等。结果共检出86例心律失常患者,检出率为11.47%。发病率最高的3种心律失常类型为期前收缩(2.40%)、心房颤动(1.73%)和阵发性室上性心动过速(1.47%)。男性和女性心律失常检出率分别为14.14%(54/382)和8.70%(32/368),差异有统计学意义(P=0.021)。≤45岁、46～60岁和>60岁人群的心律失常检出率分别为4.14%(7/169)、8.86%(24/271)和17.74%(55/310),差异有统计学意义(P=0.031)。心律失常患者为基础疾病共105例次,发生率为122.09%,明显高于非心律失常患者的53.01%,差异有统计学意义(P=0.013)。结论江苏省无锡市心律失常类型以期前收缩、心房颤动和阵发性室上性心动过速为主,并且好发于高龄和男性人群,伴有基础性心血管疾病加重了心律失常的发生。
Objective To investigate the status of arrhythmia and analysis the related factors in different populations in Wuxi of Jiangsu province,in order to improve basic medical quality and clinical skills.Methods A retrospective analysis on clinical data of 750 cases from 2007 to 2011 was done：physical examination,incidence of arrhythmias,the highest incidence of 3 types of arrhythmia,males and females arrhythmia detection rate difference,the relationship of incidence and age distribution,and the comparison of underlying diseases with the undetected arrhythmic patients were compared.Results 86 cases（11.47%）of arrhythmia were found out.The three arrhythmia types of highest incidence were premature systoles（2.40%）,atrial fibrillation（1.73%）and paroxysmal supraventricular tachycardia（1.47%）.The detection rate in male group was higher than that in female（14.14% vs 8.70%,P=0.021）.The detection rates in different year groups of ≤45,46-60 and 60 years old were 4.14%,8.86%,and 17.74%（P=0.031）,respectively.The rate of major illness beforehand or present in arrhythmia group was 122.09%,which was higher than 53.01% in patients of non-arrhythmia group（P=0.013）.Conclusion Premature systoles,atrial fibrillation and paroxysmal supraventricular tachycardia are the three main types of arrhythmia in Wuxi of Jiangsu province.The incidence is higher in older and male population,and beforehand or present major cardiovascular diseases aggravates the arrhythmia.
出处
《医学综述》
2012年第21期3706-3708,共3页
Medical Recapitulate
关键词
心律失常
期前收缩
流行病学
回顾性分析
Arrhythmia
Premature systoles
Epidemiology
Retrospective analysis
