摘要
目的:通过对老年住院患者死亡病例的分析,为老年医疗保健工作及健康老龄化提供一定的理论依据。方法:回顾性分析2011年9月~2019年8月中国人民解放军联勤保障部队第九〇〇医院干部病房住院的老年死亡患者243例临床资料,包括性别、年龄、基础疾病、死亡原因、并发症等。结果:243例老年住院患者平均死亡年龄(89.00±5.63)岁。死亡原因前三位系统疾病依次为恶性肿瘤、呼吸系统疾病、循环系统疾病。恶性肿瘤、呼吸系统疾病分别是<90岁和≥90岁患者死亡的首位原因。肺部感染是非肿瘤死亡患者首要死亡原因,肺癌是肿瘤死亡患者首要死亡原因。发生老年多器官功能障碍综合征者占死亡总数的74.5%,合并感染的患者发生老年多器官功能障碍综合征的比例高于未合并感染患者。老年死亡患者院内感染最常见的是肺部感染,其次是泌尿系统感染。结论:恶性肿瘤、呼吸和循环系统疾病是老年住院患者死亡的三大系统疾病,加强肿瘤早期筛查、预防院内感染及老年多器官功能障碍综合征是医疗保健工作的重要内容。
Objective:To analyze the death cases of elderly hospitalized patients,it provides theoretic basis for the elderly medical care and healthy aging.Methods:We analysed the clinical data of 243 elderly hospitalized patients who died from Sept.2011 to Aug.2019 with a retrospective analysis.Including gender,age,underlying diseases,cause of death and complications were statistically analysis.Results:The average death age of 243 elderly hospitalized patients was(89.00±5.63)years.The top three causes of death were malignant cancer,respiratory disease and cardiovascular diseases.Malignant cancer and respiratory disease were the leading causes of death for the patients younger than 90 and those over 90 years old.Lung infection was the leading cause of death in non-cancer deaths.Lung cancer was the leading cause of death in cancer deaths.Patients occurred with MODSE,accounted for 74.5%of total deaths.The incidence of MODSE in patients with infection was higher than that in patients without infection(χ^2=14.350,P<0.05).The most common nosocomial infection in elderly patients who died was lung infection,followed by urinary tract infection.Conclusions:Malignant cancer,respiratory disease and cardiovascular diseases were the common death causes in the elderly hospitalized patients.Strengthening the early cancer screening,preventing nosocomial infections and MODSE are important contents of medical insurance health care.
作者
朱莹
余云华
张冬梅
ZHU Ying;Yu Yun-hua;ZHANG Dong-mei(The Second Department of Cadre's Ward,the 900th Hospital of Joint Logistics Support Forces of the Chinese PLA,Fuzhou 350025)
出处
《实用中西医结合临床》
2020年第18期104-106,108,共4页
Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine
