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目的了解沭阳县农村居民慢性心力衰竭(CHF)的患病率及危险因素,为本地农村居民CHF的防治提供科学依据。方法对2015年5月-2016年5月在江苏省沭阳县中医院心内科门诊就诊本地农村患者进行问卷调查、体格与生化检查,其中CHF患者为病例组,非CHF患者为对照组,分析CHF的危险因素。结果本次调查共发放7 977份问卷,回收有效问卷6 569份,有效应答率为82.3%;其中研究组694例,对照组5 875例,CHF患病率为10.56%。研究组患者在25~34岁年龄段患病率最低、为2.00%,65~74岁年龄段和75~84岁年龄段患病率最高、分别为18.13%和15.21%;单因素分析显示,两组的年龄、体重指数(BMI)、吸烟史、高血压史、冠心病史、血脂异常和糖尿病相比,差异有统计学意义(P<0.05),而性别、饮酒史和呼吸系统疾病相比,差异则无统计学意义;logistic回归分析显示,高龄(OR=1.170)、超重/肥胖(OR=3.572)、有吸烟史(OR=3.943)、有高血压史(OR=5.145)、有冠心病史(OR=3.264)和存在血脂异常(OR=3.850)是导致CHF发生的独立性危险因素。结论沭阳县农村居民CHF的患病率较高,高龄、超重/肥胖、吸烟、高血压、冠心病和血脂异常是CHF发生的独立性危险因素,加强对农村地区CHF的宣传教育,提高农村居民对CHF的重视十分重要。
Objective To understand the prevalence and risk factors of chronic heart failure (CHF) among rural residents in Shuyang County, and to provide a scientific basis for the prevention and treatment of CHF in rural residents. Methods From May 2015 to May 2016, questionnaires, physical and biochemical tests were performed on local rural patients attending cardiology department of Jiangsu Shuyang Traditional Chinese Medicine Hospital. Among them, CHF patients were the case group and non-CHF patients were the control group. The CHF Risk factors. Results A total of 7 977 questionnaires were distributed in this survey, 6 569 valid questionnaires were returned, with an effective response rate of 82.3%. Among them, 694 were in the study group and 5 875 in the control group. The prevalence of CHF was 10.56%. The prevalence of the study group was the lowest in the age group of 25-34 years, 2.00%, the highest prevalence in the age group of 65-74 years and the age group of 75-84 years (18.13% and 15.21%, respectively). In the univariate analysis, There was significant difference between the two groups in age, body mass index (BMI), smoking history, history of hypertension, history of coronary heart disease, dyslipidemia and diabetes (P <0.05), while gender, history of alcohol consumption and respiratory disease (OR = 1.170), overweight / obesity (OR = 3.572), smoking history (OR = 3.943), history of hypertension (OR = 5.145), and there was a statistically significant difference The history of coronary heart disease (OR = 3.264) and the presence of dyslipidemia (OR = 3.850) were independent risk factors for CHF. Conclusions The prevalence of CHF in rural residents in Shuyang County is high. Elderly age, overweight / obesity, smoking, hypertension, coronary heart disease and dyslipidemia are independent risk factors of CHF. The publicity and education of CHF in rural areas are strengthened, and rural residents The importance of CHF is very important.