南昌地区30年来12879例住院成人心血管病构成比分析

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。

An analysis of 12879 adult in-patients with cardiovascular diseases in recent 30 years in Nanchang region

Objective:To analyze the aetiologies of 12 879 adult in patients with cardiovascular diseases in our hospital (Nanchang area) in recent 30 years(1971.1-1999.12).Methods:The 30 years were divided into six periods. These cardiovascular diseases were classified into 12 categories according to method of ICD 9 and analyzed. The age, sex and mortality of cardiovascular diseases have been analyzed.Results:The results indicated that the constituent ratio among these cardiovascular diseases have changed, that rheumatic heart disease (RHD) showed the tendency to decrease progressively, that essential hypertension (EH) ranked the first of all cardiovascular diseases both in 1980 s and 1990 s, that coronary heart disease (CHD) ranked still the third in recent 30 years, and however, its total number of in patients increased (from 164 in the first half of 70s to 530 in the last half of 90 s), that arrhythemia of unknown causes, ranked from the 10 th ( 1.2 %) in the the first half of 70 s , up to the 2 th ( 21.02 %) in the last half of 90 s, and that pulmonary heart disease (PHD) decreased from the 4 th (8.77%) in the first half of 70 s to the 9 th ( 1.16 %) in the last 90 s.Conclusion:The proportion of patients of EH and arrhythemia increased gradually; RHD and PHD decreased gradually; Total number of in patients with CHD increased gradually in Nanchang area.