摘要
目的调查分析某三甲医院风湿科老年住院患者风湿病分布情况。方法选取首都医科大学宣武医院风湿科住院患者2360例,将所有患者按照年龄不同分为2组。<60岁为中青年组(1293例),≥60岁为老年组(1067例),记录患者性别、年龄、出院诊断以及合并症情况。采用SPSS 21.0软件进行数据分析,用四格表χ2检验分析不同疾病组之间的差异。结果在系统性红斑狼疮、类风湿关节炎中老年男性患者的比例较中青年组高;在痛风中老年女性患病的比率较中青年组高;在皮肌炎及重度骨关节炎中老年组男女患病比例与中青年组相反;在大动脉炎及系统性硬化症中无老年男性病例。结论老年人患风湿病与中青年不同,不同性别患病分布情况有其自身特点。在临床工作中,应注意老年风湿病患者的患病分布情况,有助于临床的诊断及治疗。
Objective To investigate and analyze the distribution of rheumatic diseases among the elderly patients in the rheumatology department in a tertiary hospital.Methods A total of 2360 inpatients in the Department of Rheumatology and Allergy of Xuanwu Hospital of Capital Medical University were selected for the study,who were divided into the young and middle-aged group(<60 years,n=1293)and the elderly group(≥60 years,n=1067).Data were recorded about their gender,age,discharge diagnosis,admission time,discharge time,and complications.SPSS statistics 21.0 was used for data analysis,and the difference between groups was analyzed with the four-fold tableχtest.Results The proportion of males with systemic lupus erythematosus and rheumatoid arthritis in the elderly group was higher than that in the young and middle-aged groups.The proportion of females with gout in the elderly group was higher than that in the young and middle-aged groups.The proportion of the males and females with dermatomyositis and severe osteoarthritis in the elderly population was opposite to that in the young and middle-aged group.There was no elderly male patients with arteritis and systemic sclerosis.Conclusion The distribution of rheumatism in the elderly is different from that in the young and middle-aged,and the distribution of rheumatism in different genders has its own characteristics.In the clinical practice,attention should be paid to the distribution of rheumatism in the elderly,which is helpful for a better understanding of the characteristics of rheumatism in the elderly.
作者
廖秋菊
赵义
李霞
魏廉
LIAO Qiu-Ju;ZHAO Yi;LI Xia;WEI Lian(Department of Rheumatology and Allergy, Xuanwu Hospital of Capital Medical University, Beijing 100053, China)
出处
《中华老年多器官疾病杂志》
2021年第2期113-117,共5页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
老年人
风湿病
调查
aged
rheumatic disease
investigation
