摘要
目的了解北京友谊医院老年住院患者慢性病患病情况及近10年变化。方法通过统计病案首页数据,对我院2008年1月至2017年12月60630例老年住院患者的慢性病患病情况进行统计,同时分析近5年老年住院患者慢性病共病情况。结果2008~2012年患病率排前5位的慢性病分别为高血压(19.60%)、冠状动脉粥样硬化性心脏病(15.90%)、恶性肿瘤(13.20%)、糖尿病(10.40%)和血脂代谢异常(9.80%)。2013~2017年,患病率排前5位的慢性病分别为高血压(40.00%)、恶性肿瘤(25.92%)、糖尿病(19.16%)、冠状动脉粥样硬化性心脏病(17.58%)和白内障(15.70%)。2013~2017年不同年龄的老年患者存在不同程度的共病情况,60~69岁患者慢性病共病数(2.71±1.86)种,70~79岁患者慢性病共病数(4.24±1.54)种,80~89岁患者慢性病共病数(5.93±2.33)种。结论我院老年住院患者恶性肿瘤、高血压、白内障患病率显著增高,慢性病共病种数随年龄增长而增多,老年科医师应综合全面地对老年人所患疾病进行诊治。
Objective To investigate the prevalence of chronic diseases in the elderly inpatients in Beijing Friendship Hospital and its changes in recent 10 years. Methods Statistical data from the front page of medical records in 60 630 elderly inpatients in our hospital from January 2008 to December 2017 were collected and analyzed for the prevalence of chronic diseases. At the same time,the comorbidity of chronic diseases in the elderly inpatients in recent 5 years was analyzed. Results From 2008 to 2012,the top 5 chronic diseases were hypertension (19.60%),coronary atherosclerotic heart disease (15.90%),malignant tumors (13.20%),diabetes mellitus (10.40%) and abnormal lipid metabolism (9.80%). From 2013 to 2017, the top 5 chronic diseases were hypertension (40.00%),malignant tumors (25.92%),diabetes mellitus (19.16%),coronary atherosclerotic heart disease (17.58%) and cataract (15.70%). During 2013 and 2017,there were different statuses of comorbidity among the elderly patients at different ages. The number of comorbidities was (2.71±1.86) in the 60-69-year-old patients,(4.24±1.54) in the 70-79-year-old patients,and (5.93±2.33) in the 80 -89-year-old patients. Conclusion The prevalences of malignant tumors, hypertension and cataract are significantly increased in the elderly inpatients in our hospital. The number of chronic diseases is elevated with age. Geriatricians should diagnose and treat the diseases in the elderly in a comprehensive manner.
作者
杨华昱
陈海平
马清
YANG Hua-Yu;CHEN Hai-Ping;MA Qing(Department of Geriatrics,Medical and Health Care Center,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)
出处
《中华老年多器官疾病杂志》
2019年第7期503-506,共4页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
老年人
慢性病
共病
aged
chronic diseases
comorbidity
