468例慢性心力衰竭患者病因和药物应用分析

Analysis of aetiology and treatment for 468 patients with chronic heart failure

目的了解慢性心力衰竭患者的病因和药物应用状况。方法回顾性分析民权县人民医院2004年至2008年住院诊断为慢性心力衰竭患者的临床资料,与2007年中华医学会慢性心力衰竭指南进行比较。结果共分析了468例患者,慢性心力衰竭最常见的病因是冠心病243例(51.9%),其次是高血压病86例(18.4%)。血管紧张素转换酶抑制剂和β-受体阻滞剂的使用率分别为52.7%和42.9%,利尿剂、地高辛和硝酸酯类使用率较高,分别为75.0%、62.8%和80.1%。醛固酮拮抗剂使用率为10.8%。结论 2004年至2008年民权县人民医院慢性心力衰竭患者以冠心病和高血压病为主,药物治疗情况与2007年中华医学会慢性心力衰竭指南的要求存在明显差距。

Objective To investigate the aetiology and pharmaceutical therapy of patients with chronic heart failure in the last five years.Methods Data of hospitalized patients with chronic heart failure from 2004 to 2008 were collected and analysed.Results A total of 468 patients were included.The most common causes for heart failure was coronary heart disease（51.9%）,followed by hypertension（18.4%）.Angiotensin conversion enzyme inhibitors were used in 52.7% of the patients,and beta blockers were given in 42.9%,diuretics in 75.0%,digoxin in 62.8% and nitrates in 80.1% of the patients.10.8% of the patients were administered aldosterone antagonist.Conclusion The main causes of chronic heart failure in the people＇s hospital of minquan county from 2004 to 2008 are coronary heart disease and hypertension.More attention should be payed for the standard therapy of chronic heart failure.