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目的:探讨新疆和田地区墨玉县及皮山县医院维吾尔族心血管病病种近10年演变趋势。方法:收集新疆和田地区墨玉县及皮山县医院内科1996年1月~2005年12月住院维吾尔族心血管病患者16 654例住院病历,统计冠心病、原发性高血压病、风湿性心脏病、原发性心肌病、先天性心脏病、肺原性心脏病构成比,并分析心血管病病种近10年演变情况。结果:16 654例中,原发性高血压病的构成比由1996年的12.6%上升为2005年的21.0%,冠心病的构成比由1996年的8.6%上升为2005年的16.7%,风湿性心脏病的构成比由1996年的1.3%上升为2005年的3.2%,原发性心肌病的构成比由1996年的1.2%上升为2005年的2.3%。从1996年到2005年原发性高血压病、冠心病构成比呈明显增高趋势(P均<0.05),风湿性心脏病、原发性心肌病构成比呈逐渐增高趋势(P均<0.05),先天性心脏病、肺原性心脏病的构成比无演变趋势(P均>0.05)。结论:应加强此地区人群心血管病,尤其原发性高血压病,冠心病的预防工作。
Objective: To investigate the evolution trend of Uighur cardiovascular disease in Moyu County and Pishan County Hospitals in Hetian in recent 10 years. Methods: Totally 16 654 inpatient medical records, statistics of coronary heart disease, essential hypertension and rheumatic diseases were collected from hospitalized patients in Moyu County and Pishan County, Heart disease, primary cardiomyopathy, congenital heart disease, pulmonary heart disease constitution ratio, and analysis of cardiovascular disease nearly 10 years of evolution. Results: In 16 654 cases, the constitutional ratio of essential hypertension increased from 12.6% in 1996 to 21.0% in 2005, and the ratio of coronary heart disease increased from 8.6% in 1996 to 16.7% in 2005. Rheumatism The constitutional ratio of STD increased from 1.3% in 1996 to 3.2% in 2005, while that of primary cardiomyopathy increased from 1.2% in 1996 to 2.3% in 2005. From 1996 to 2005, the constituent ratios of essential hypertension and coronary heart disease were significantly increased (all P <0.05), and the proportions of rheumatic heart disease and primary cardiomyopathy tended to increase gradually (all P <0.05) , Congenital heart disease, pulmonary heart disease than no evolution trend (P> 0.05). Conclusion: Cardiovascular diseases should be strengthened in this area, especially for the prevention of essential hypertension and coronary heart disease.