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目的探讨北京市平谷地区慢性心力衰竭流行病学调查研究及治疗对策。方法 715例平谷区地区慢性心力衰竭急性加重住院患者,采用本院自拟住院患者调查表对患者性别、年龄、职业、诱发因素及药物使用情况进行分析。结果入选调查的715例慢性心力衰竭患者中病因排在前三位的分别为:冠心病、高血压心脏病以及肺源性心脏病,构成比例分别为:27.7%、17.8%、14.0%;年龄段为40~65岁以及>65岁者,分别占45.1%和56.8%;男:女为1.59∶1(P<0.05);农民占61.4%;慢性心力衰竭急性失代偿诱发因素主要包括感染、劳累、饮食不当、未规律治疗(P<0.05);所有患者均进行药物治疗,其中715例静脉或口服呋噻米,601例服用螺内酯,341例服用地高辛,619服用硝酸酯类药物,398例服用β受体阻滞剂,453例服用ACEI或ARB。结论未规律治疗、感染、劳累、饮食不当等是心衰急性加重主要诱因,且患者并未获得系统化治疗,医生应加强慢性心力衰竭患者规范化治疗,并对患者进行饮食、运动、情志、起居等进行全方位指导管理。
Objective To investigate the epidemiological investigation and treatment of chronic heart failure in Pinggu area, Beijing. Methods A total of 715 hospitalized patients with acute exacerbation of chronic heart failure in Pinggu District were enrolled in this study. Their sex, age, occupation, predisposing factors and medication use were analyzed by questionnaire. Results Among the 715 patients with chronic heart failure who were enrolled in the study, the top three causes were coronary heart disease, hypertension heart disease and pulmonary heart disease, with the proportions of 27.7%, 17.8% and 14.0%, respectively 45.1% and 56.8% respectively for men aged 40-65 years and> 65 years; men and women 1.59:1 (P <0.05); peasants accounted for 61.4%; chronic decompensation of acute heart failure mainly included infection , Fatigue, improper diet, irregular treatment (P <0.05); all patients were treated with drugs, including 715 intravenous or oral furosemide, 601 cases taking spironolactone, 341 cases taking digoxin, 619 taking nitrates , 398 patients taking β-blockers, 453 patients taking ACEI or ARB. CONCLUSIONS: Uneven treatment, infection, fatigue, improper diet are the main causes of acute worsening of heart failure, and patients have not been systematically treated. Doctors should strengthen the standardization of treatment for patients with chronic heart failure, and carry out diet, exercise, emotional, Etc. to conduct all-round guidance and management.