35岁及以上人群二尖瓣反流现状及其影响因素研究
发布时间:2018-04-22 07:15
本文选题:二尖瓣闭锁不全 + 检出率 ; 参考:《中国循环杂志》2017年05期
【摘要】:目的:了解我国35岁及以上人群二尖瓣反流(MR)的检出情况及其影响因素,为高危人群的预防提供参考。方法:采用分层多阶段抽样的方法抽取35岁及以上的成年人作为调查对象,通过调查问卷及体格检查收集调查人群的一般情况、生活方式、疾病史、身高、体重等信息,并进行彩色多普勒超声心动图检查以及空腹血糖和血脂的测定。结果:纳入分析对象共28 814人,MR总体检出率为18.4%,其中男性和女性MR检出率均为18.4%。中重度MR检出率:35~50岁年龄组为0.3%,51~64岁年龄组为0.9%,≥65岁年龄组为2.2%。随年龄升高,MR检出率有升高的趋势。多因素Logistic回归分析发现年龄、收缩压、城乡、地区、左心房前后径、左心室舒张末期前后径、左心室射血分数、卒中病史、心房颤动病史、心力衰竭病史是MR的影响因素。结论:我国人群MR检出率较高,年龄、收缩压、城乡、地区、左心房前后径、左心室舒张末期前后径、左心室射血分数、卒中病史、心房颤动病史、心力衰竭病史是MR的主要影响因素,针对具有上述危险因素的人群应采取针对性的预防措施。
[Abstract]:Objective: to investigate the detection of mitral regurgitation MRs and its influencing factors in 35 years old and over population in China, and to provide reference for the prevention of mitral regurgitation in high risk population. Methods: using stratified multi-stage sampling method, the adults aged 35 and above were selected as the subjects, and the general situation, life style, disease history, height, weight and so on were collected by questionnaire and physical examination. Color Doppler echocardiography and fasting blood glucose and blood lipids were measured. Results: the total detectable rate of Mr was 18.4% in 28 814 subjects, of which both male and female were 18.4%. The detection rate of moderate and severe Mr was 0.33% in 50 years old group and 0.9 in 64 years old group, and 2.2 in 鈮,
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