摘要
目的通过回顾分析近13年入住本院老年患者疾病谱的特点、变化趋势,有助于了解老年疾病的临床特征及开展老年人慢性疾病的防治工作。方法采用回顾性分析方法,收集2005年1月-2017年12月入住年本院老年诊疗相关科室的老年患者出院病案资料,采用ICD-10为疾病分类原则,对≥60岁老年住院患者的前10位疾病的疾病谱进行分析。结果共纳入264 707例老年住院患者资料,平均年龄(75.43±13.17)岁,以(70～80)岁年龄段居多。循环系统疾病、呼吸系统疾病及内分泌代谢系统疾病是住院前3位系统疾病;其中,呼吸系统疾病呈上升趋势。冠心病、高血压病及慢性支气管炎急性发作等是最常见的单病种疾病。老年白内障、前列腺增生等老年慢性病的住院构成比不容忽视。在治疗效果上呈现好转率升高、死亡率下降趋势。结论本院老年住院患者高龄化趋势严重,需要针对老年疾病谱特点及老年综合征进行综合性分析考量。
Objective To retrospectively analyze the characteristics and trends of disease spectrum of elderly inpatients in the past13 years, and to help to understand the clinical characteristics of senile diseases and the prevention and treatment of chronic diseases in the elderly. Methods A retrospective analysis method was used to collect the discharge data of elderly patients in the department of elderly diagnosis and treatment in our hospital from January 2005 to December 2017. ICD-10 was used as the classification principle. The disease spectrum of 10 diseases were analyzed. Results A total of 264 707 elderly hospitalized patients were included, with an average age of(75.43±13.17) years old, mostly in the 70-80 age group. Circulatory diseases,respiratory diseases and endocrine and metabolic diseases were the top three systemic diseases of the inpatients;Among them, respiratory diseases were rising. Coronary heart disease,Hypertension,and Acute exacerbation of chronic bronchitis were the most common diseases. The hospitalization of elderly chronic diseases such as cataract and benign prostatic hyperplasia could not be ignored. In the treatment effect, there was an increase in the rate of improvement and a decrease in mortality. Conclusion The ageing of elderly hospitalized patients in our hospital is very serious, and it is necessary to comprehensively analyze the characteristics of disease spectrum and the syndrome of the elderly.
作者
程新春
刘鹏
苗海军
周晓辉
CHENG Xin chun;LIU Peng;MIAO Hai jun;ZHOU Xiao hui(Geriatrics Center,People’s Hospital of XinjiangUyghur Autonomous Region,Xinjiang,Urumqi,830000,Xinjiang,China;Information Center,People’s Hospital of XinjiangUyghur Autonomous Region,Xinjiang,Urumqi,830000,Xinjiang,China;Department ofGeriatrics,the First Affiliated Hospital,Xinjiang Medical University,Urumqi,830054,Xinjiang,China)
出处
《新疆医学》
2018年第12期1268-1270,共3页
Xinjiang Medical Journal
基金
新疆维吾尔自治区自然科学基金(项目编号:2017D01C296)
关键词
住院患者
老年人
疾病谱
单病种
Inpatients
elderly
disease spectrum
single disease
