摘要
目的调查某三甲医院2012年1月1日-2016年12月31日60岁以上住院老年患者疾病构成,为老龄化健康问题研究及医疗卫生资源的合理配置提供参考资料。方法通过HIS系统和病案管理系统提取2012年-2016年期间年龄≥60岁患者住院病案首页资料,按照国际疾病分类ICD-10对主要诊断进行分类,采用SPSS20.0进行统计分析。结果 2012年-2016年60岁以上住院患者共245 301例,老年住院患者构成比呈上升趋势。其中循环系统疾病、肿瘤、消化系统疾病和呼吸系统疾病为疾病构成顺位前4位,累计构成比为58.9%。循环系统疾病和呼吸系统疾病随年龄段的增长,构成比呈上升趋势;脑梗死在循环系统疾病中顺位第一,构成比为35.2%;恶性肿瘤在肿瘤疾病中顺位第一,构成比90.4%;消化系统恶性肿瘤、呼吸和胸腔内器官恶性肿瘤和淋巴造血组织恶性肿瘤为恶性肿瘤构成顺位前3位,累计构成比为64.3%。结论通过分析近5年老年住院患者的疾病构成,针对老年人群高发的循环系统疾病、恶性肿瘤、消化系统疾病、呼吸系统疾病的患病特点,加强医院对老年慢性病的诊疗服务能力,高度重视循环系统疾病和恶性肿瘤的综合管理,以不断满足人口老龄化和医学模式转变带来的老年医学需求。
Objective To investigate old inpatient＇ s diseases constitution of a hospital in Liaoning from 2012 to2016, so as to provide baseline data for further research. Methods The case records of no less than 60-year-old inpatients in the hospital were collected from 2012 to 2016, and based on the first diagnose, the diseases were classified according to the International Classification of Diseases （ICD-10）. The data were analyzed using SPSS20. 0 software. Results The total number of inpatients no less than 60 years old6 was 245301, the constituent ratio of hospitalized elderly patients showed an increasing trend. The top four categories were diseases of the circulatory system, neoplasms, diseases of the digestive system and of the respiratory system, the cumulative constituent ratio was 58.9%. The constituent ratio of circulatory system diseases and respiratory diseases increased with age. The top one disease of the circulatory system was cerebral infarction, constituent ratio of which was 35.2%. The top one disease of neoplasms was malignant tumor, constituent ratio of which was 90. 4%. The top three were malignant tumors of the digestive system, respiratory arid intrathoracic organs, and lymphoid tissue, constituent ratio of which was 64. 3%. Conclusion The characteristics of the disease composition of the elderly inpatients in the hospital during the last 5 years were clarified. It is suggested that we should attach great importance to the comprehensive management of circulatory system diseases and malignant tumors. In view of the high incidence of circulatory system disease, malignant tumor, digestive system disease, respiratory system disease, we should strengthen the ability of diagnosis and treatment of senile chronic diseases, to meet the urgent needs of aging population and the change of medical model.
出处
《中国病案》
2017年第6期77-80,共4页
Chinese Medical Record
关键词
老年患者
疾病构成
变化趋势
Old inpatient
Disease constitution
Change trend
