北京地区军队老年人群退行性心脏瓣膜病流行病学研究

目的探讨北京地区军队老年人群中退行性心脏瓣膜病（SDHVD）的患病率及可能的危险因素。方法从北京地区21个部队干休所60岁以上8202名老年人中随机分层抽样820人，填写调查表，行心脏彩色超声多普勒检查，并对14项与SDHVD患病有关的因素进行多因素logistic回归分析。结果SDHVD的现患率为13．4％，其中60～岁、70～岁、80岁以上年龄组分别为7．7％、16．196和25．7％（P〈0．05）；SDHVD主要危险因素为年龄、高血压、高脂血症、脑卒中和心血管病家族史。结论北京地区部队老年人SDHVD的现患率随年龄增高，年龄、高血压、高血脂、脑卒中、心血管病家族史是SDHVD的危险因素。

An epidemiological study on degenerated heart valvular diseases among military elderly population in Beijing

Objective To investigate the prevalence and possible risk factors of senile degenerated heart valvular disease (SDHVD) among military elderly in Beijing. Methods 820 individuals,aged 60 or above,are randomly selected from 8202 individuals, in 21 military retirement centers in Beijing. Each individual answers a questionnaire and receives Doppler echocardiographic examination for an observation of the cardiac structure,function and valve condition.A logistic regression analysis is also made to identify possible risk factors and their powers on the prevalence of SDHVD. Results The prevalence ratio of SDHVD by means of ultrasonic checks among military elderly in Beijing is 13.4%. Among them, the prevalence ratio of SDHVD for age groups of 60-, 70-, and 80 or above are 7.7% , 16.1% , 25.7% respectively.Data from logistic regression shows the following results that SDHVD risk factors include age, hypertention, hyperlipemia, stroke and cadiovascular family history.Conclusion The prevalence of SDHVD among the military elderly in Beijing rises with the increase of age. SDHVD risk factors include age,hypertention, hyperlipemia, stroke and cadiovascular family history.