佛山市社区心脏性猝死高危患者流行病学调查及健康档案的建立

Epidemiological Investigation in High Risk patient with SCD in Communities of Foshan and Building Health Records

目的:总结广东省佛山市社区心脏性猝死(SCD)患病情况及高危因素,探讨建立健康档案对SCD的影响。方法:收集2016年12月-2019年12月佛山市社区医院已建立居民健康档案的5467例患者的资料,根据是否存在SCD危险因素分为高危组及低危组,比较两组SCD的患病率及高危组中的独立危险因素,同时比较观察期间未建立居民健康档案的5589例的SCD情况。结果:已建立健康档案人群发生SCD 34例,总患病率为0.62%,高危组患病率明显高于低危组(1.16%vs 0.25%,P<0.05);多因素回归分析示吸烟、高血压、糖尿病、高血脂、既往有心脏病史为高危组人群SCD的独立危险因素;而已建立健康档案人群总的患病率明显低于未建立健康档案人群(0.62%vs 1.0%,P<0.05)。结论:吸烟、高血压、糖尿病、既往心脏病史为高危组人群SCD的独立影响因素,已建立健康档案人群SCD患病率低于未建立健康档案人群,说明健康档案有降低SCD患病率的重要性。

Objective:To summarize the sudden cardiac death(SCD)and high risk factors in the communities of Foshan and the effect of building health record on SCD.Methods:The data of 5467 cases had health record in the com-munity hospitals in Foshan from Dec 2016 to Dec 2019 were divided into high risk group and low risk group accorded to the risk factors of SCD.The prevalence was compared and the effects of independent risk factors on SCD in high risk group were analyzed.Meanwhile,the rate of SCD in 5589 cases had no health record during the same period was com-pared.Results:34 SCD in the people with health record.The total prevalence was 0.62%.The prevalence in high risk group was significantly higher than that in low risk group(1.16%vs 0.25%,P<0.05).Smoking,hyperglycemia,diabetes,hyperlipemia,original heart disease history were independent risk factors in SCD high risk group bymultiple regression analysis.The prevalence in people with health record was significantly lower than that in without health record(0.62%vs 1.0%,P<0.05).Conclusion:Smoking,hyperglycemia,diabetes,original heart disease history are independent risk fac-tors causing SCD.The prevalence of SCD in people with health record is lower than those without health record,which in-dicates the significance of health record in lowering the prevalence of SCD.