中国现代医学杂志2017，Vol.27Issue(6)：71-74,4.DOI:10.3969/j.issn.1005-8982.2017.06.014
云南地区慢性心力衰竭患者合并贫血的流行病学调查
Epidemiological survey of chronic heart failure complicated with anemia in Yunnan Province
摘要
Abstract
Objective To explore the prevalence of anemia in patients with chronic heart failure (CHF) in Yunnan province. Methods The clinical data of 2,452 patients with CHF classed as grade II-IV by NYHA classification were collected. The age, genders, LVEFs, cardiac function of NYHA class and incidence of ane-mia were investigated in the CHF patients. Results Of the 2,452 CHF patients meeting the research condi-tions, the prevalence of anemia accounted for 11.83%, and the incidence in the male patients was significantly higher than that in the female patients (P<0.05). The prevalence of anemia was the highest in the young old group among different age groups, followed by middle-aged, older and young groups; the differences in the incidence of anemia among all age groups were statistically significant (P<0.05). The incidence of anemia was the highest in the patients with coronary heart disease, followed by those with rheumatic heart disease and hypertensive heart disease with significant differences among the groups (P<0.05). The incidence of ane-mia was significantly different among the groups of different cardiac function (P<0.05); the worse the cardiac function of the patients with CHF, the higher the anemia rate. The anemia prevalence of the HFpEF group and the HFrEF group was 13.36% and 9.80% respectively (P<0.05). Conclusions In Yunnan Province, the prevalence of anemia in male patients with CHF is higher than that in female patients. Moreover, the CHF accompanied with anemia is often associated with old age and coronary heart disease. The prevalence in-creases with the worsening of cardiac function. However, anemia is more common in HFpEF patients.关键词
心力衰竭/血红蛋白/贫血/流行病学Key words
heart failure/hemoglobin/anemia/epidemiology分类
医药卫生引用本文复制引用
陈小玲,吴新华,陈章荣,杨云贵,董瑜,杨瑛,刘宏,张健..云南地区慢性心力衰竭患者合并贫血的流行病学调查[J].中国现代医学杂志,2017,27(6):71-74,4.基金项目
国家自然科学基金(No:81560073) （No:81560073）
"十二五"国家科技支撑计划重大项目心力衰竭项目(No:2011BA111B02) （No:2011BA111B02）
