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目的了解辽宁省农村地区心力衰竭住院患者病因谱、诱因和药物治疗方面的状况。方法对2007年度辽宁省部分县医院慢性心力衰竭住院病例进行回顾性分析。结论共调查478例,其中男性223例,女性255例。病因主要是冠心病(50.8%)和高血压(45.8%)。约45.2%患者有明确的诱因,其中感染50.5%、劳累52.8%。药物治疗应用比例分别是利尿剂66.7%、血管紧张素转换酶抑制剂(ACEI)66.3%、螺内酯43.9%、地高辛41.6%和β阻滞剂25.7%。结论辽宁省农村心衰住院患者的病因主要是冠心病和高血压;劳累和感染是心衰的最常见诱因;心衰治疗应用较多的药物是利尿剂、ACEI和地高辛。
Objective To understand the etiology, inducement and medication of hospitalized patients with heart failure in rural areas of Liaoning Province. Methods Retrospective analysis of inpatients with chronic heart failure in some county hospitals in Liaoning Province in 2007. Conclusions A total of 478 cases were investigated, including 223 males and 255 females. The main causes of coronary heart disease (50.8%) and hypertension (45.8%). About 45.2% of patients have a clear incentive, of which 50.5% of infections, fatigue 52.8%. Drug treatment applications were 66.7% of diuretic, angiotensin converting enzyme inhibitor (ACEI) 66.3%, spironolactone 43.9%, 41.6% of digoxin and 25.7% of β blockers. Conclusions The causes of hospitalized patients with heart failure in rural areas of Liaoning Province are mainly coronary heart disease and hypertension. Exhaustion and infection are the most common causes of heart failure. Diuretics, ACEI and digoxin are the most commonly used drugs for heart failure.