摘要
目的了解特需医疗人群慢性病患病、多病共存现状及共病组合情况。方法调取2023年1月至12月于北京医院特需医疗部体检的1504例研究对象的信息,统计14种慢性病或指标异常的患病及多病共存情况及特点。结果共统计14种慢性病或指标异常,人群患病数量为(4.70±1.86)种,且随年龄增长,患病数量逐渐增多。97.21%的人存在多病共存现象,男性的共病患病率高于女性,共病率前3位的疾病是血脂异常(87.57%)、消化系统疾病(85.11%)、高血压病(59.57%),常见的二元共病组合是血脂异常+消化系统疾病、血脂异常+高血压病、血脂异常+糖尿病或血糖升高,常见的三元共病组合是血脂异常+消化系统疾病+关节炎或风湿病、血脂异常+消化系统疾病+高血压病、血脂异常+消化系统疾病+糖尿病或血糖升高。结论特需医疗人群慢性病患病率及共病率很高,且随着增龄向多元化方向发展,导致疾病诊断和治疗的难度增大。
Objective To investigate the prevalence of chronic diseases and the current status of multimorbidity in the special needs medical population.Methods Medical records of 1504 patients who had medical examinations at the Department of Special Needs Medicine of Beijing Hospital from January 2023 to December 2023 were collected,and the prevalence of 14 chronic diseases and their characteristics were analyzed.Results Among the 14 chronic diseases surveyed,the average number of diseases in the population was 4.70±1.86,and the number of diseases gradually increased with age.97.21%of the population had co-existing diseases,and the prevalence of co-existing diseases was higher in men than in women,and the top three diseases in terms of co-existing diseases were dyslipidemia(87.57%),diseases of the digestive system(85.11%),and hypertensive disease(59.57%).The most common binary multimorbidity combinations were Dyslipidemia+digestive system disease,dyslipidemia+hypertensive disease,dyslipidemia+Diabetes mellitus or elevated blood glucose,and common ternary multimorbidity combinations were dyslipidemia+digestive system disease+arthritis or rheumatism,dyslipidemia+digestive system disease+hypertensive disease,and dyslipidemia+digestive system disease+Diabetes mellitus or elevated blood glucose.Conclusions The incidence and comorbidity rate of chronic diseases in the special medical needs population are very high,and with the development of age towards diversification,the difficulty of disease diagnosis and treatment increases.
作者
张予
赵籥陶
董娟
李悦芃
邱蕾
ZHANG Yu;ZHAO Yuetao;DONG Juan;LI Yuepeng;QIU Lei(Department of Healthcare,Beijing Hospital,National Center of Gerontology,Institute of Geriatric Medicine,Chinese Academy of Medical Sciences,Beijing 100730,China)
出处
《中国临床保健杂志》
CAS
2024年第4期480-484,共5页
Chinese Journal of Clinical Healthcare
关键词
慢性病共病
共病现象
患病率
现患调查
Multiple chronic conditions
Comorbidity
Prevalence
Prevalence studies
