| 心血管疾病死亡患者住院死亡时间与年龄性别的关系分析 |
| 投稿时间：2015-07-15 修订日期：2015-09-09 点此下载全文 |
| 引用本文：肖亚莉,黄鹤,黄丹,孔彬,廖佳芬.心血管疾病死亡患者住院死亡时间与年龄性别的关系分析[J].医学研究杂志,2016,45(2):31-34 |
| DOI：
10.11969/j.issn.1673-548X.2016.02.009 |
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| 基金项目:湖北省科技支撑计划项目(2013BCB013);湖北省自然科学基金资助项目(2013CFA059) |
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| 中文摘要:目的 分析笔者医院心血管疾病死亡的年龄、性别差异与不同住院死亡时间段的关系,为提出有效的干预措施提供依据。方法 采用回顾性研究方法,收集笔者医院2012年1月1日~2015年6月30日心血管内科死亡病例资料,分析不同年龄组别和不同住院死亡时间心血管疾病死亡患者的性别、罹患疾病情况和直接死因的差异。结果 笔者医院心血疾管病病死率除风湿性心脏病外,存在着明显的性别差异,即男性病死率明显大于女性,总体性别比约为1.8:1。257例心血管疾病死亡病例中,高血压(59.92%)和冠心病(52.92%)是最常见的基础疾病。心血管死亡患者中大多为3天内死亡(48.25%),且心源性猝死是心血管疾病的主要直接死因。3天内死亡患者中,男性病死率明显高于女性,性别差异在70岁以下人群中更为显著;而在>14天的死亡患者中,性别差异在70岁及以上人群中表现更加突出。结论 加强低龄男性人群和有冠心病、高血压,特别是合并糖尿病等多基础疾病的高龄男性人群的心血管疾病的预防和干预,并加大其在诊疗中重点靶器官功能的保护,同时,重点防治女性风湿性心脏病人群,可能降低心血管住院患者病死率。 |
| 中文关键词:心血管疾病 回顾性分析 死亡原因 性别差异 |
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| Abstract:Objective To analyze the relationship between the age, gender and periods of time of death in patients who died of cardiovascular diseases of our hospital. Then basis can be provided for the effective interventions. Methods With a retrospective study, medical records of those who died in department of cardiology were collected from January 1st, 2012 to June 30th, 2015.The difference of gender、diseases and direct cause of death in patients who died of cardiovascular diseases were analyzed in different groups of gender and time of death. Results In addition to rheumatic heart diseases, gender is significantly different in the mortality rate of cardiovascular disease, male is significantly higher than female and the ratio is about 1.8:1. In the 257 cases of cardiovascular disease deaths, hypertension(59.92%) and coronary heart disease(52.92%) were the most common underlying disease. Most of cardiovascular disease deaths(48.25%) died within 3 days, and sudden cardiac death is the main direct cause of death in cardiovascular disease. Patients who died within 3 days, the mortality rate of male was significantly higher than that of female, especially in patients above 70 years old. Moreover, this gender difference is more obvious in patients who died after 14 days. Conclusion It is urgent to strengthen prevention and intervention of cardiovascular disease in young men and old men with coronary heart disease and hypertension, especially with diabetes and so on. To protect major target organs can't be ignored, too. At the same time, it is possible to decrease the mortality rate of in-patients in department of cardiology to prevent and cure women with rheumatic heart diseases. |
| keywords:Cardiovascular disease Retrospective study Cause of death Difference of gender |
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