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Int J Cardiol:中国心血管病调查:国人18.4%有二尖瓣反流,1.2%为中重度

2017-05-24 卢芳 中国循环杂志

近日,中国重要心血管病患病率调查及关键技术课题组对近3万≥35岁人群进行的调查研究显示,我国自然人群中男女二尖瓣反流检出率较高均为18.4%,而且随增龄还有增高趋势。此外,二尖瓣反流程度也有随年龄增高趋势,其中35~50岁组中重度二尖瓣反流检出率为0.3%,在51~64岁组为0.9%,在≥65岁组为2.2%。总体上有1.2%的人有中重度二尖瓣反流。不同地区二尖瓣反流检出也有差异,其中东部人群二尖瓣

近日,中国重要心血管病患病率调查及关键技术课题组对近3万≥35岁人群进行的调查研究显示,我国自然人群中男女二尖瓣反流检出率较高均为18.4%,而且随增龄还有增高趋势。

此外,二尖瓣反流程度也有随年龄增高趋势,其中35~50岁组中重度二尖瓣反流检出率为0.3%,在51~64岁组为0.9%,在≥65岁组为2.2%。总体上有1.2%的人有中重度二尖瓣反流。

不同地区二尖瓣反流检出也有差异,其中东部人群二尖瓣反流最为多见为24%,其次是中部地区为13.1%,西部最低为16.5%。

研究者指出,轻、中重度二尖瓣反流老年人群所占比例较高,可能由于心脏瓣膜发生纤维退行性变,或青年时期风湿热所致,具体原因有待研究。就区域差异,推测或与东部较为富裕,不良生活方式更为流行,慢病患病率高有关。

进一步分析显示,增龄、收缩压升高、农村、东部地区、卒中史、房颤史、左心房前后径增大、左心室舒张末期前后径增大、左心室射血分数降低是二尖瓣反流的主要危险因素。

研究者指出,应该针对上述高危人群采取针对性预防措施。在临床上,提示左心室收缩功能不全时,应注意二尖瓣反流发生的可能性;房颤患者治疗管理时应注意避免二尖瓣反流作为并发症出现。

该研究在全国31个省级行政区262个县共纳入28 814位≥35岁居民。

之前,浙江大学附属第二医院王建安等对近14万门诊和住院患者进行的医院为基础的调查显示,在严重瓣膜性心脏病中,二尖瓣反流最为常见,患病率为0.68%。

原始出处:

Hu P, Liu XB, Liang J, et al. A hospital-based survey of patients with severe valvular heart disease in China. Int J Cardiol. 2017 Mar 15.

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    2017-07-04 suibian2007bbb

    学习

    0

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createdName=159****6356, createdTime=Fri May 26 00:33:37 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=202344, encodeId=0564202344f3, content=学习并分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu May 25 08:32:41 CST 2017, time=2017-05-25, status=1, ipAttribution=)]
  4. 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createdName=159****6356, createdTime=Fri May 26 00:33:37 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=202344, encodeId=0564202344f3, content=学习并分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu May 25 08:32:41 CST 2017, time=2017-05-25, status=1, ipAttribution=)]
    2017-06-03 suibian2007bbb

    学习

    0

  5. 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createdName=159****6356, createdTime=Fri May 26 00:33:37 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=202344, encodeId=0564202344f3, content=学习并分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu May 25 08:32:41 CST 2017, time=2017-05-25, status=1, ipAttribution=)]
    2017-05-26 feifers
  6. 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createdName=159****6356, createdTime=Fri May 26 00:33:37 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=202344, encodeId=0564202344f3, content=学习并分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu May 25 08:32:41 CST 2017, time=2017-05-25, status=1, ipAttribution=)]
    2017-05-26 wwzzly
  7. 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createdName=suibian2007bbb, createdTime=Tue Jul 04 08:31:40 CST 2017, time=2017-07-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1781756, encodeId=426a1e81756bb, content=<a href='/topic/show?id=5db8409ed8' target=_blank style='color:#2F92EE;'>#Cardiol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=4097, encryptionId=5db8409ed8, topicName=Cardiol)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8e886, createdName=仁者大医, createdTime=Tue Aug 22 07:04:00 CST 2017, time=2017-08-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=205800, encodeId=12e1205800cf, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/Q3auHgzwzM4KDsF1g1gUHzGM0LHxX5B5uhEMln8y8iagso9N4XBTQVPmHrCNoT3o8bw80Ds53TpTgcPnKUIfkyw/0, createdBy=bc101976400, createdName=suibian2007bbb, createdTime=Sat Jun 03 00:48:53 CST 2017, time=2017-06-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1571589, encodeId=1db515e15892c, content=<a href='/topic/show?id=41e33e76137' target=_blank style='color:#2F92EE;'>#反流#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=73, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=37761, encryptionId=41e33e76137, topicName=反流)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=220d15750403, createdName=feifers, createdTime=Fri May 26 09:04:00 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1463158, encodeId=6c411463158d1, content=<a href='/topic/show?id=cff92389310' target=_blank style='color:#2F92EE;'>#二尖瓣#</a>, 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createdName=159****6356, createdTime=Fri May 26 00:33:37 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=202344, encodeId=0564202344f3, content=学习并分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu May 25 08:32:41 CST 2017, time=2017-05-25, status=1, ipAttribution=)]
    2017-05-26 ylzr123

    感谢小编为我们准备了如此丰盛的精神大餐,同时也向作者致谢!认真学习了,点赞!

    0

  8. 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createdName=159****6356, createdTime=Fri May 26 00:33:37 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=202344, encodeId=0564202344f3, content=学习并分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu May 25 08:32:41 CST 2017, time=2017-05-25, status=1, ipAttribution=)]
    2017-05-26 惠映实验室

    心血管疾病要引起重视,早期检查尤其重要。

    0

  9. 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createdName=159****6356, createdTime=Fri May 26 00:33:37 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=202344, encodeId=0564202344f3, content=学习并分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu May 25 08:32:41 CST 2017, time=2017-05-25, status=1, ipAttribution=)]
    2017-05-26 159****6356

    很好学习了

    0

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createdName=159****6356, createdTime=Fri May 26 00:33:37 CST 2017, time=2017-05-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=202344, encodeId=0564202344f3, content=学习并分享!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20200816/e4675a86ea694f12b82202b320dc2654/12f6b900498349e994ce8f516a584d6a.jpg, createdBy=09431951290, createdName=大爰, createdTime=Thu May 25 08:32:41 CST 2017, time=2017-05-25, status=1, ipAttribution=)]
    2017-05-25 大爰

    学习并分享!!

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