乌鲁木齐汉族、维吾尔族、哈萨克族、回族住院患者心房颤动发病临床情况比较分析

摘要

目的：比较乌鲁木齐市汉族、维吾尔族、哈萨克族、回族四个民族心房颤动（房颤）患者的临床特征。　　方法：对乌鲁木齐市12家医院2008-01至2012-12期间四个民族的房颤1310例患者进行对照分析，其中汉族995例（75.95%），维吾尔族168例（12.82%），哈萨克族55例（4.20%），回族92例（7.02%）。　　结果：①四个民族均是男性比率大于女性，性别比较差异无统计学意义（P>0.05），但四个民族在房颤类型、心功能分级、危险因素的比较差异有统计学意义（P<0.05）。②四个民族血压比较差异无统计学意义（P>0.05），但四个民族在血常规、生化、心脏超声的比较差异有统计学意义（P<0.05）。③四个民族在治疗方面比较差异有统计学意义（P<0.05）。　　结论：乌鲁木齐市的汉族、维吾尔族、哈萨克族、回族房颤患者在生化指标、心脏超声指标、房颤类型、心功能分级、CHA2DS2-VAS积分、节律控制、抗凝治疗等方面有差异。%Objective: To comparatively study the atrial ifbrillation (AF) in patients with Han, Uygur, Kazak and Hui ethnic groups in Urumqi city. Methods: A total of 1510 AF patients treated in 12 hospitals in Urumqi city from 2008-01 to 2012-12 were retrospectively studied. There were 1310 patients enrolled in our research including the 4 ethnic groups of Han, n=995 (75.95%), Uygur, n=168 (12.82%), Kazak, n=55 (4.20%) and Hui, n=92 (7.02%). Results: ①The gender ratios were similar in 4 ethnic groups, P>0.05, while the AF type, cardiac function and risk factors were different, all P<0.05.②The blood pressure was similar in 4 ethnic groups, P>0.05, while the blood routine test, biochemistry and cardiac ultrasound examination were different, all P<0.05.③The treatments were different among 4 ethnic groups, all P<0.05. Conclusion: The AF patients were different in AF type, biochemistry, cardiac ultrasound and function, anti-coagulation treatment among 4 ethnic groups of Han, Uygur, Kazak and Hui in Urumqi city.