摘要
目的：分析某医院住院慢性心力衰竭患者病因种类、心功能分级、心力衰竭相关药物应用情况。方法对重庆市永川区人民医院心内科2012年1月1日至2015年12月31日出院的慢性心力衰竭患者进行统计和回顾性分析。结果回顾出院病历8126份，筛选出符合纳入标准的慢性心力衰竭患者总计3320例，占同期总出院患者的40．86％；其中冠心病2262例（68．13％）、风心病353例（10．63％）、肺心病265例（7．98％），占据疾病谱的前三位；NYHA 心功能Ⅲ级以上患者2683例（占80．81％）；利尿剂、地高辛、螺内酯、血管紧张素转化酶抑制剂（ACEI）／血管紧张素Ⅱ受体拮抗剂（ARB）、β受体阻滞剂的使用率分别为71．23％、27．23％、70．48％、30．75％、30．78％。统计分析表明：使用过利尿剂与未使用利尿剂患者使用螺内酯的情况比较、患高血压病与未患高血压病患者使用 ACEI ／ARB 的情况比较、合并慢性支气管炎与未合并慢性支气管炎患者使用β-受体阻滞剂的情况比较差异均有统计学意义（χ^2＝2．386、2．727、61．807，均 P ＜0．001）。结论慢性心力衰竭患者在区级医院心内科住院患者中所占比例高，心功能减退显著，药物治疗规范性有待提高。
Objective To analyze the causes,cardiac function grading and drug application related to heart failure of the patients with chronic heart failure in Yongchuan district people＆#39;s hospital.Methods The cases of chronic heart failure of department of cardiology in our hospital from January 1st,2012 to December 31st,2015 were counted and retrospectively analyzed.Results 3 320 cases of chronic heart failure in our hospital chosen from 8 126 medical records accounted for 40.86% of total discharged patients in the same period,including 2 262 cases of coronary disease （68.13%）,353 cases of rheumatic heart disease （10.63%）and 265 cases of pulmonary heart disease （7.98%）,who took up the top three in the spectrum of disease;2 683 cases of NYHA heart function Ⅲ magnitude accounted for 80.81%;The utilization rate of diuretic,digoxin,spironolactone,angiotensin -converting enzyme inhibi-tor,angiotonin receptor blocker,beta adrenergic receptor were 71.23%,27.23%,70.48%,30.75%,30.78%respectively.The statistical analysis showed that the differences were statistically significant between the patients using diuretics and the patients using spirolactone（χ^2 =2.386,P 〈0.001）,the patients with hypertension and the patients with no hypertension using ACEI /ARB（χ^2 =2.727,P 〈0.001）,and merged chronic bronchitis patients and the chro-nic bronchitis patients using beta -blocker（χ^2 =61.807,P 〈0.001）.Conclusion The patients with chronic heart failure takes up a higher portion among the inpatients in department of cardiology in the district level hospital.The heart function decreases significantly and the normative drug therapy needs to be improved.
作者
袁跃龙
侯明英
谢辉
李伟
谭建川
刘静
向琳
骆建琼
侯云菊
丁贤彬
谷伟
Yuan Yuelong Hou Mingying Xie Hui Li Wei Tan Jianchuan Liu Jing Xiang Lin Luo Jianqiong Hou Yunju Ding Xianbin Gu Wei(Department of Cardiology, the People＇s Hospital of Yongchuan District, Chongqing 402160, China Department of Chronic Disease, Chongqing Municipal Center for Disease Control and Prevention, Chongqing 400042, China Community Health Service Center of Yongchuan District Tea Mountain and Bamboo Forestry Sub - district Office, Chongqing 402160, China)
出处
《中国基层医药》
CAS
2016年第20期3061-3064,共4页
Chinese Journal of Primary Medicine and Pharmacy
基金
重庆市卫生局2013年医学科研计划项目（2013-2-234）
关键词
慢性心力衰竭
心功能
药物治疗
Chronic Heart Failure
Heart Function
Drug Therapy
