文章摘要
周 俊,李志明,李 双,金雪娟,陈 丽,周京敏,葛均波.上海市社区老年人群心房颤动的流行病学调查[J].南京医科大学学报,2018,(9):1314~1318
上海市社区老年人群心房颤动的流行病学调查
An epidemiological survey of atrial fibrillation in a community elderly population of Shanghai
投稿时间:2017-02-04  
DOI:10.7655/NYDXBNS20180929
中文关键词: 心房颤动  流行病学  老年人群
英文关键词: atrial fibrillation  epidemiology  elderly population
基金项目:上海市级医院慢性病综合防治项目(SHDC12012309)
作者单位
周 俊 复旦大学附属中山医院心内科上海市心血管病研究所上海 200032 
李志明 川北医学院附属医院心内科四川 南充 637000 
李 双 川北医学院附属医院心内科四川 南充 637000 
金雪娟 复旦大学附属中山医院心内科上海市心血管病研究所上海 200032 
陈 丽 川北医学院附属医院心内科四川 南充 637000 
周京敏 复旦大学附属中山医院心内科上海市心血管病研究所上海 200032 
葛均波 复旦大学附属中山医院心内科上海市心血管病研究所上海 200032 
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中文摘要:
      目的:了解上海市金山区社区老年人群心房颤动的患病率以及流行病学特征。方法:在上海市金山区9个社区65岁以上老年人健康体格检查中进行常规12导联心电图和以房颤为主要内容的心血管疾病问卷调查并分析。结果:研究人群房颤粗患病率为2.78%,标化患病率为3.02%;房颤患病率随年龄增长呈上升趋势(P < 0.05);75岁以下各年龄段组男性房颤患病率均高于女性(P < 0.05);首诊、阵发性、持续性和长程持续性房颤所占比例分别为13.72%、24.15%、7.03%和55.10%;阵发性、持续性和长程持续性房颤患者的平均病程为(5.06 ± 5.92)年。房颤患者中有脑卒中病史者占9.61%,而接受华法林治疗者仅占4.92%。结论:上海市金山区9个社区65岁以上老年人群的房颤患病率以及流行病学特征均与国内外主要研究结果接近,需加强对房颤的防治工作。
英文摘要:
      Objective:To analyze the prevalence and epidemiological characteristics of atrial fibrillation(AF)in the elderly population in the communities of Jinshan District of Shanghai. Methods:We analyzed the data collected from the Shanghai Citizen Physical Examination Project performed in the elderly above 65?year?old in 9 communities of Jinshan District. A 12?lead electrocardiogram examination and a cardiovascular disease research questionnaire which was mainly on AF were obtained. Results:The crude prevalence rate of AF in this study population was 2.78%,standard prevalence rate was 3.02%,increased with age(P < 0.05). The prevalence rate in males under 75 years of age was higher than that in females between each age group(P < 0.05). The proportion of first diagnosed,paroxysmal,persistent and long?standing persistent AF was 13.72%,24.15%,7.03% and 55.10%,respectively. The average duration of AF for paroxysmal,persistent and long?standing persistent AF was (5.0 ± 5.92) years. A total of 9.61% of AF patients had a history of stroke,while only 4.92% patients received warfarin therapy. Conclusion:The AF prevalence rate and epidemiological characteristics in the elderly above 65?year?old in 9 communities of Jinshan District of Shanghai are close to other research results in China.
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