武警河北总队医院20年间周围血管病变住院患者构成比分析

Analysis on Clinical Constituent Ratio of Patients with Peripheral Vascular Disease in Hebei Armed Police Force Hospital

目的了解我院周围血管疾病住院患者的构成比变化情况,为住院周围血管疾病的临床流行病学研究提供依据。方法回顾性分析我院20年间周围血管疾病住院患者的临床资料,以5年为一个时间段对数据进行统计分析。结果20年间除血栓闭塞性脉管炎病例逐渐减少外,糖尿病足、深静脉血栓形成、动脉硬化闭塞症、静脉曲张及其并发症、其他周围血管疾病均有增加的趋势,其中糖尿病足、深静脉血栓形成、血栓闭塞性脉管炎4个时间段构成比差异有统计学意义(P<0.05),动脉硬化闭塞症、静脉曲张及并发症、其他周围血管疾病4个时间段构成比差异无统计学意义(P>0.05);平均发展速度及增长速度从高到低依次为糖尿病足、深静脉血栓形成、其他周围血管疾病、动脉硬化闭塞症、静脉曲张及并发症、血栓闭塞性脉管炎。结论近20年我院糖尿病足、深静脉血栓形成住院病例呈明显增多的趋势,血栓闭塞性脉管炎逐渐下降,提示糖尿病足、深静脉血栓形成的防治是目前工作的重点。

Objective To investigate the variation of constituent ratio of patients with peripheral vascular disease in our hospital to provide preliminary information for clinical epidemiology research and prevention and treatment of peripheral vascular disease.Methods Clinical data of the patients with peripheral vascular disease were analyzed retrospectively,every 5 years as a time phrase was statistically analyzed.Results During the past 20 years,there has been a significant difference（P0.05） in constituent ratio of diabetic foot,deep venous thrombosis and thromboangiitis obliterans.However there has been no significant difference（P0.05） in constituent ratio of arteriosclerosis obliterans,varix and its complications and else peripheral vascular disease.And its average progress speed and average velocity of increase in turn was diabetic foot,deep venous thrombosis,else peripheral vascular disease,arteriosclerosis obliterans,varix and its complications,thromboangiitis obliterans.Conclusion The clinical epidemiology information of peripheral vascular disease in our hospital in the past 20 years shows that there has been an obvious increase in constituent ratio of diabetic foot and deep venous thrombosis patients and a decrease in the constituent ratio of thromboangiitis obliterans patients.The emphasis on prevention and treatment of diabetic foot and deep venous thrombosis should be stressed.