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大连医学院附属医院与遵义医学院附属医院是科室设置及床位数均十分相近的两所综合性医院,但一所位于东北,一所地处西南。本文对比分析了这两所医院近5年冠心病病人的住院构成比、发病年龄、冠心病类型及易患因素,结果发现:(1)两院冠心病的住院构成比有显著差异,大医附院为1.24％,而遵医附院仅占0.48％;(2)大医住院冠心病病人的发病年龄较遵义早大约10年;(3)大医组病例中心肌梗塞占51.17％,心衰型仅占4.67％,而遵医组病例则以心衰型居多,占56.89％,心肌梗塞仅占19.11％;(4)易患因素大医组病例以高脂血症居多,占58.05％,遵医组以高血压居多,占44.89％。本文结果间接证实冠心病的患病率北方高于南方。关于冠心病类型的差异作者认为有两种可能:一是两地冠状动脉粥样硬化的类型不同;二是在遵医组冠心病心衰型病人中有一部分可能系非缺血性心脏病所致。
Dalian Medical College Affiliated Hospital and Affiliated Hospital of Zunyi Medical College are two general hospitals with similar departments and beds. However, one is located in the northeast and the other is located in the southwest. This article comparative analysis of the two hospitals in the past 5 years coronary heart disease inpatients composition ratio, age of onset, type of coronary heart disease and predisposing factors and found that: (1) Hospitalization of hospital composition ratio of coronary heart disease significantly different, Affiliated Hospital of 1.24%, while obstetrics and gynecology hospital only 0.48%; (2) large hospitalized patients with coronary heart disease onset than Zunyi about 10 years earlier; (3) MDU cases of myocardial infarction accounted for 51.17%, heart Only 4.67% of the patients were decayed, while those in the compliance group were mostly heart failure, accounting for 56.89% and myocardial infarction only accounting for 19.11%. (4) The predisposing factors were mostly hyperlipemia in the major medical group, accounting for 58.05% , The majority of compliance group to hypertension, accounting for 44.89%. The results of this indirect test confirmed that the prevalence of coronary heart disease was higher in the north than in the south. The difference between the types of coronary heart disease The authors believe that there are two possibilities: First, the two types of coronary atherosclerosis in two different; Second, the compliance group of patients with coronary heart disease may be part of non-ischemic heart disease To