[中国住院心力衰竭患者当前状况调查,2023-2024年]
1Department of Cardiology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing 100730, China.
Zhonghua xin xue guan bing za zhi
|February 13, 2026
概括
心脏衰竭与保存的喷射分数 (HFpEF) 在中国最常见,冠状动脉心脏病普遍存在. 虽然HFrEF患者接受指导方针导向的医学治疗,但HFpEF治疗和设备治疗需要优化.
科学领域:
- 心脏病学 心脏病学
- 内部医学 内部医学
- 公共卫生 公共卫生
背景情况:
- 心力衰竭 (HF) 是中国的一个重大公共卫生问题.
- 了解住院HF患者的特征对于改善护理至关重要.
- 需要最新的关于HF亚型,病因和治疗模式的数据.
研究的目的:
- 研究中国住院心力衰竭患者的临床状况,病因因素,并发症和治疗策略.
- 分析心力衰竭亚型之间的特征和治疗的差异:减少喷射率 (HFrEF),轻度减少喷射率 (HFmrEF) 和保存喷射率 (HFpEF).
主要方法:
- 一项采用中国心力衰竭登记 (2023-2024) 数据的横截面研究.
- 招募了250,936名住院HF患者,根据左心室喷射分数分类为HFrEF,HFmrEF和HFpEF.
- 通过基于网络的系统收集了包括人口统计,病因学,并发症和治疗策略在内的综合性临床数据.
主要成果:
- 在住院的HF患者中,HFpEF占最大比例 (43.83%).
- 冠心病是最常见的病因 (62.18%),导致因素 (49.36%),并发病 (65.95%).
- 在HFrEF患者中观察到指导方针导向医疗疗的高利用率,但设备治疗的利用率不足. 在HFpEF中使用-葡萄糖共运输体2抑制剂和并发症管理需要改进.
结论:
- 在中国,HFpEF是住院HF患者中占主导地位的亚型.
- 冠心病显著影响HF病因,住院触发因素和并发症.
- 优化治疗,包括药物和设备治疗,特别是HFpEF,对于改善中国HF患者的治疗结果至关重要.
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