华南预防医学 ›› 2023, Vol. 49 ›› Issue (4): 436-439.doi: 10.12183/j.scjpm.2023.0436

• 论著 • 上一篇    下一篇

体检人群心律失常现状及其影响因素调查

曹聪颖, 冯洁, 彭妍, 曹桂红   

  1. 北京积水潭医院,北京 102208
  • 收稿日期:2022-12-04 出版日期:2023-04-20 发布日期:2023-07-06
  • 作者简介:曹聪颖(1990—),女,大学本科,护师,主要从事心内科工作
  • 基金资助:
    国家自然科学基金课题(81700330)

Arrhythmia status and its influencing factors in physical examination population

CAO Congying, FENG Jie, PENG Yan, CAO Guihong   

  1. Beijing Jishuitan Hospital, Beijing 102208, China
  • Received:2022-12-04 Online:2023-04-20 Published:2023-07-06

摘要: 目的 探讨北京积水潭医院体检人群心律失常现状及其相关影响因素,为该疾病防治工作提供参考。方法 以2020年1月至2022年10月在北京市某三甲医院进行健康体检的人群为研究对象,收集所有患者基本信息及体检数据,采用描述性分析方法分析心律失常的发生情况,并采用单、多因素Logistic回归分析方法分析体检人群心律失常的影响因素。结果 共有1 428人在医院接受体检,其中心律失常有393例,发生率为27.52%。多因素Logistic回归分析显示,年龄≥60岁(OR=4.651)、吸烟(OR=4.586)、饮酒(OR=3.691)、LAD增大(OR=2.418)、高血压(OR=4.212)、高血糖(OR=2.514)、超重/肥胖(OR=3.557)、UA异常(OR=3.575)及低血钾(OR=2.002)均是心律失常发生的危险因素,而运动锻炼(OR=0.504)、健康饮食(OR=0.763)是心律失常发生的保护因素。结论 体检人群中心律失常发生率较高,医务人员可针对相关危险因素进行健康指导,通过运动锻炼、健康饮食等方式降低心律失常的发生,以降低心律失常对人们健康的危害。

关键词: 心血管疾病, 心律失常, 影响因素, 调查

Abstract: Objective To explore the arrhythmia status and its related influencing factors in the physical examination population of Beijing Jishuitan Hospital, and to provide a reference for the prevention and treatment of arrhythmia. Methods The study focuses on the population who underwent a physical examination at a tertiary hospital in Beijing from January 2020 to October 2022. The basic information and physical examination data of all patients were collected, and the occurrence of arrhythmias in this group was analyzed by descriptive analysis, and univariate and multivariate Logistic regression analysis methods were used to analyze the factors affecting arrhythmia in the physical examination population. Results A total of 1 428 persons were examined in the hospital, of which there were 393 cases of arrhythmia, with an incidence rate of 27.52%. Multivariate Logistic regression analysis showed that age ≥ 60 years old (OR=4.651), smoking (OR=4.586), alcohol consumption (OR=3.691), increased left atrial diameter (OR=2.418), hypertension (OR=4.212), hyperglycemia (OR=2.514), overweight/obesity (OR=3.557), abnormal uric acid (OR=3.575), and hypokalemia (OR=2.002) were all risk factors for the occurrence of arrhythmia, while exercise (OR=0.504) and healthy diet (OR=0.763) were protective factors for the occurrence of arrhythmia. Conclusions The incidence of arrhythmia is high in the physical examination population. Medical staff should provide health guidance according to the related risk factors, and reduce the occurrence of arrhythmia through exercise, healthy diet, and other ways, to reduce the harm of arrhythmia to people's health.

Key words: Cardiovascular disease, Arrhythmia, Influencing factor, Investigation

中图分类号: 

  • R195