摘要
目的探讨新疆地区不同民族主动脉瓣疾病(aortic valve disease,AVD)心脏彩色多普勒超声(彩超)的特点。方法 2011年1月—2016年12月,基于心脏彩超结果,对新疆地区不同民族患者的资料进行处理和分析,总结和归纳新疆汉族及主要少数民族AVD病变特点。结果共纳入患者130 358例,涉及汉族(58.49%)及33个少数民族[包括维吾尔族(27.42%)、哈萨克族(7.47%)、回族(3.48%)、其他(3.13%)],其他少数民族因样本量少,故未予以描述。总研究群体中,主动脉瓣狭窄(aortic valve stenosis,AS)患病率为0.44%,重度AS患病率为0.10%;主动脉瓣关闭不全(aortic valve regurgitation,AR)患病率为0.37%,重度AR为0.02%;钙化性主动脉瓣(aortic valve calcification,AVC)患病率为6.51%,以≥75岁年龄段患病率最高(24.45%);二叶式主动脉瓣(bicuspid aortic valve,BAV)患病率为0.54%,以18~44岁年龄段患病率最高(0.86%)。不同民族间,维吾尔族AS(0.60%)、AR(0.63%)、BAV(0.88%)患病率均最高,汉族AS(0.37%)、AR(0.24%)患病率均最低,但汉族AVC患病率最高(7.83%)。AS病因中,退行性病变所占比例最大(61.97%),AR病因构成主要以根部病变(35.97%)及BAV(22.87%)为主。结论新疆地区整体AVD患病率较低。高龄人群中维吾尔族、哈萨克族、回族AS患病率高于汉族。不同民族有不同的AVD心脏彩超特点;维吾尔族AVD呈低龄化发病特点;BAV在维吾尔族中检出率最高,回族最低。
Objective To explore the echocardiography characteristics of aortic valve disease（AVD） among different ethnic groups in Xinjiang. Methods The data of a large sample（n=130 358） of different ethnic groups in Xinjiang based on the results of echocardiography were analyzed between January 2011 and December 2016, and the echocardiography characteristics of AVD among the Han nationality and different ethnic minorities in Xinjiang were summarized. Results The study recruited 130 358 patients, involving Han nationality（58.49%） and 33 ethnic minorities.The ethnic minorities included the Uygur（27.42%）, Kazak（7.47%）, Hui nationality（3.48%） and other minorities（3.13%）.Apart from Uygur, Kazak and Hui nationality, no description was given due to the small sample sizes of other minorities（3.13%）. In the total study population, the prevalence of aortic valve stenosis（AS） was 0.44%, and the prevalence of severe AS was 0.10%; the prevalence of aortic valve regurgitation（AR） was 0.37%, and the prevalence of severe AR was 0.02%; the prevalence of aortic valve calcification（AVC） was 6.51%, and the highest AVC prevalence existed in ≥75 years old age group（24.45%）; the prevalence of bicuspid aortic valve（BAV） was 0.54%, and the highest BAV prevalence existed in 18-44 years old age group（0.86%）. Among different ethnic groups, the Uygur had the highest prevalence in terms of AS（0.60%）,AR（0.63%） and BAV（0.88%）, while the Han had the lowest prevalence in terms of AS（0.37%） and AR（0.24%）, but the highest AVC prevalence existed in the Han nationality（7.83%）. The etiology of AVD showed that the degenerative valve changes was the main cause of AS with the largest proportion of 61.97%. While the aorta root diseases（35.97%） and BAV（22.87%） were the main etiology of AR. Conclusions In Xinjiang the overall prevalence of AVD is low. In the elderly population, the Uygur, Kazak and Hui nationality have the higher AS prevalence than the Han nationality does.Diffe
出处
《华西医学》
CAS
2018年第2期188-194,共7页
West China Medical Journal
