新疆墨玉县及皮山县医院维吾尔族住院病人心血管病病种10年演变回顾性研究

The trend of changes in cardiovascular disease of Uighur population in hotan Xinjiang China.A ten year study from 1996 to 2005

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16654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：16654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. In order to understand better the trend of changes in cardiovascular disease of Uighur population in two county hospital in Hotan prefecture. A ten year study from 1996 to 2005 was done. Methods. The study was made cardiovascular disease of Uighur population at Hotan prefecture by registration in patients from karakax county hospital and Gumar country hospital Total annual number of cardiovascular disease were divided in Coronary heart disease, Essential Hypertension, rheumatic heart disease, Cardiomyopathy, Pulmonary heart disease, and Congenital heart disease. Result.. The percentage of EH from 1996 12.6% to 2005 21%, the percentage of CHD from 1996 8.6% to 2005 16.7%, the percentage of rheumatic heart disease from 1996 1. 3% to 2005 3. 2%, the percentage of cardiomyopathy from 1996 1.2% to 2005 2.3%, The trend in morbidity cardiovascular diseases of Uighur population in Hotan prefecture last ten years ware changed obviously, the annual percentage of Essential Hypertension, Coronary heart disease are rising significantly in recent ten years（all P 〈0.05）, the annual percentage of rheumatic heart disease and Cardiomyopathy are slightly increased during this period （all P 〈0.05）the annual percentage of Pulmonary heart disease, Congenital heart disease did not significantly changed in recent ten years（all P 〉0.05）. Conclusion： The morbidity of Essential Hypertension, Coronary heart disease are rising significantly in the Uighur population of this area. the percentage of rheumatic heart disease, Cardiomyopathy slightly increased during this period. Other Cardiovascular diseases had no significantly change in recent ten years. Prevention for cardiovascular disease especially coronary heart disease and Essential Hypertension should be strengthened in this area.