摘要
目的回顾性调查老年创面住院患者创面形成的原因、住院期间的合并症,以及创面的诱因与临床特征。方法收集2017年1月1日至12月31日期间中国人民解放军南部战区总医院因创面问题住院的老年(年龄≥65岁)患者病例资料,利用创面相关疾病代码检索病例,共筛选出135例老年创面住院患者。结果老年创面住院患者存在2个及2个以上合并症,最常见合并症为心血管疾病(24.25%)和营养不足(22.89%)。老年创面的主要形成原因是糖尿病(29.90%)。老年糖尿病创面的主要诱因是外伤(24.14%)。老年压迫性创面患者临床特征最主要的是贫血(28.00%)和营养不足(26.00%),最常见部位是骶尾部(43.33%)。结论目前,糖尿病是造成老年创面的主要原因,老年人合并症多且存在营养不足的情况,导致老年人创面治疗难度增大,关注创面形成的原因及易发因素将有助于降低老年创面的发生率,从而提高老年人的生存质量。
Objective To investigate retrospectively the causes of wounds formation,complications dur ing hospitalization,to analyse the risk factors of diabetic wounds and clinical characteristics of pressure ulcers in elderly patients with wounds.Methods Clinical data of 135 hospitalized elderly patients with wounds in the Gen eral Hospital of Southern Theater Command from January 1 to December 31,2017 were collected.Results There were many complications in the geriatric wounds inpatients.Such as cardiovascular disease(24.25%)and malnu trition(22.89%).The main causes of the geriatric wounds were diabetes(29.90%).The main risk factors of diabet ic wounds in the elderly were trauma(24.14%).Anemia(28.00%)and malnutrition(26.00%)are the main sys temic diseases of the elderly patients with pressure ulcers,and the most anatomic common site was the sacral tail(43.33%).Conclusion Diabetes is the main risk factors of the geriatric wounds at present,and the elderly have many complications and lack of nutrition,which makes the treatment of the geriatric wounds more difficult.Atten tion to the cause of wounds formation and risk factors will help to reduce the incidence of wounds in the elderly,so as to improve the quality of life of the elderly.
作者
陈胜男
程飚
CHEN Shengnan;CHENG Biao(Guangdong Pharmaceutical University,Guangzhou 510000,China)
出处
《实用医学杂志》
CAS
北大核心
2019年第2期209-212,共4页
The Journal of Practical Medicine
基金
国家自然科学基金(编号:81272105)
广州市科技计划项目(编号:穗科创字[2015]134号)
广东省省级科技计划项目(编号:2015B020233012)
广东省省级科技计划项目(编号:2014B020212010)
国家自然科学基金(编号:81671924)
国家重点研发计划基金(编号:2017YFC1103301)
关键词
老年
创面
糖尿病
压迫
geriatric
wounds
diabetes
pressure
