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5162例老年住院病人疾病分布及死因分析

DISTRIBUTION OF DISEASES AND CAUSES OF DEATH IN 5162 ELDERLY IN PATIENTS.

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【作者】 曾凡荣; 朱勤岚; 马厚勋; 蒲霞; 吴平; 杨怡; 刘永碧; 赵青; 徐亮; 胡梦丽; 张晓阳;

【Author】 Zeng Fanrong, Zhu Qinlan, Ma Houxun, et al.Department of Geristrics, Department of Case-statistics, The First Hospital, Chongqing University of Medical Sciences, Chongqing 630042

【机构】 重庆医科大学临床学院老年病科; 重庆医科大学临床学院病案室 630042 630042; 630042; 进修医师 630042; 630042;

【摘要】 本文对我院近两年来收治住院的老年人5162例进行疾病及死亡原因分析,其中男性3255例,女1907例,平均年龄66.4±3.5岁。结果表明:消化系统、呼吸系统、循环系统疾病最多。常见的疾病依次为胆囊炎与胆石症、慢性支气管炎与慢性阻塞性肺气肿、脑血管病、冠心病等。本组恶性肿瘤病人占20.9%,其分布顺序为原发性肺癌、结肠与直肠癌、胃癌、喉癌等。老年住院病人死亡率明显高于同期成年组(P<0.01),并随增龄而增加。死亡病因前三位为恶性肿瘤、脑血管病、慢性支气管炎与慢性阻塞性肺气肿。而恶性肿瘤病人中又以原发性肺癌为主要死因。定期开展老年人健康检查、早期发现、早期治疗是降低老年人患病率及死亡率之重要措施。

【Abstract】 Distribution of diseases and causes of death in 5162 elderly inpatients(M 3255,F 1907, age 66.4±3.5yr) admitted to our hospital in recent two years were analysed.The results showed that gastroenteral diseases, respiratory diseases and cardiovascular diseases appeared frequently in elderly patients. The common diseases ranked in order were gall stone and cholecystitis, chronic bronchitis and emphysema, cerebral-vascular diseases and coronary heart diseases and so on. The elderly inpatients with malignant neoplastic diseases accounted for 20.9%. Primary lung cancer ranked first and followed by cancers of colorectum. stomach and larynx. The mortality of elderly inpatients was higher than that of adult inpatients (P<0.01). The first three causes of death were malignant neoplastic diseases, cerebral vascular diseases, and chronic bronchitis and emphysema. Periodic health examination and early detection and treatment of diseases are important ways to decrease the morbidity and mortality rates in the aged.

  • 【文献出处】 老年医学与保健 ,Gereatrics & Health Care , 编辑部邮箱 ,1996年01期
  • 【分类号】R181.3
  • 【被引频次】1
  • 【下载频次】35
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