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目的 :分析近 30年来 (1970年 1月～ 1999年 12月 )我院 12 879例住院成人心血管病的构成比 ,探索南昌地区心血管病发病情况和病种变迁规律。方法 :将 30年按每半年分为 6个时期进行统计分析。病种按国际疾病分类 (ICD 9)共分为 12大类进行统计分析。并对心血管病的年龄、性别及住院病死率进行分析。结果 :表明心血管病构成比发生变化 :风湿性心脏病 (风心病 )呈逐渐下降趋势 ,原发性高血压在 2 0世纪 80年代和 90年代均居首位 ,不明原因的心律失常从 70年代前半期的第 10位 (1.2 % )至 90年代后半期居第 2位 (2 0 .95 % ) ,肺源性心脏病 (肺心病 )从 70年代前半期第 4位 (8.77% )至 90年代后半期降至第 9位 (1.12 % )。冠心病构成比均处于第 3位 ,但住院病例数逐渐增加 (从 70年代前半期的 16 4例至 90年代后半期的 5 30例 )。结论 :在心血管病构成比中 ,原发性高血压 ,心律失常所占比例逐渐增加。风心病、肺心病所占比例逐渐下降 ,冠心病住院例数逐渐增加。
Objective: To analyze the proportion of cardiovascular diseases in 12 879 hospitalized adults in our hospital over the past 30 years (from January 1970 to December 1999), and to explore the incidence of cardiovascular diseases and the change of diseases in Nanchang. Methods: The 30 years were divided into six periods for statistical analysis every six months. Diseases by the International Classification of Diseases (ICD 9) is divided into 12 categories for statistical analysis. The age, sex and hospital mortality of cardiovascular diseases were analyzed. Results: It showed that the structural ratio of cardiovascular disease changed: rheumatic heart disease (rheumatic heart disease) showed a gradual downward trend, essential hypertension in the 20th century, 80 and 90 years ranked first, unexplained arrhythmia from 70 From the 10th (1.2%) in the first half of the decade to the second (20.95%) in the second half of the 1990s, the fourth from the first half of the 1970s (8.77%) to the fourth In the second half of the 90s dropped to No. 9 (1.12%). The proportions of CHD were all in the third place, but the number of inpatient cases gradually increased (from 16 4 in the first half of the 1970s to 5 30 in the second half of the 1990s). Conclusion: In the proportion of cardiovascular disease, the proportion of essential hypertension and arrhythmia increases gradually. Coronary heart disease, pulmonary heart disease accounted for a gradual decline in the proportion of cases of coronary heart disease hospital gradually increased.