住院心血管疾病4998例患者构成分析

Analysis of 4998 in-patients with cardiovascular diseases

目的 探讨10年住院心血管疾病患者的疾病谱变化.方法 回顾性分析2000年1月至2009年12月我院4998例心血管疾病住院患者的资料.结果 住院的心血管疾病患者共4998例,其中男性2459例,平均年龄（65.2±12.9）岁,女性2539例,平均年龄（67.5±12.1）岁.2000年至2004年居前3位的是冠心病、高血压病和心律失常,分别占住院心血管疾病总人数的26.88%、25.55%和24.21%,2005年至2009年心律失常跃居第1位（32.96%）,冠心病降至第2位（23.61%）,高血压病（23.34%）退居第3位,其环比增长速度心律失常101.43%、冠心病29.89%、高血压病35.15%.结论 心律失常、冠心病和高血压病构成心血管疾病住院患者的主体,占总人数的79.91%;因人群而异的心血管疾病防治工作需要尽快开展.

Objective To investigate the changing tendency of the disease spectrum of hospitalized cardiovascular diseases during recent 10 years. Methods A retrospective study was done based on the data of the Jinshan District Central Hospital of Shanghai from January 2000 to December 2009. Results Compared with the first 5 years data, the constituent ratio among these cardiovascular diseases have changed dramatically during the last 5years： the arrhythmia ranked from the third up to the first （32.96%）; the coronary heart disease decreased from the first to the second （23.61%）; the essential hypertension decreased from the second to the third （23.34%）. The increasing rate of arrhythmia, coronary heart disease and essential hypertension was 101.43%, 29. 89% and 35.13% respectively. Conclusion Arrhythmia, coronary heart disease and essential hypertension have the most popular diseases among 4 998 inpatients with cardiovascular diseases during the recent 10 years.