【摘要】 目的调查老年保健对象常见慢性疾病共病现况,以便为临床决策提供依据。方法随机抽取123名2015年10月-2016月7月在北京某医院进行体检的65岁以上的干部作为研究对象,并对其进行问卷调查。结果研究对象平均患病(3.52±1.48)种,其中青老年(年龄65~<75岁)组、中老年(年龄75~<85岁)组及老老年(年龄≥85岁)组研究对象平均患病种数分别为(2.80±1.05)种、(3.45±1.58)种及(4.29±1.45)种,不同年龄组研究对象平均患病种数比较,差异有统计学意义(P<0.05)。两两比较结果显示,老老年组研究对象平均患病种数多于青老年组及中老年组(P<0.05)。而研究对象中,仅患有1种慢性疾病者共5人(均为男性),患有2种慢性疾病者共32人(均为男性),患有3种及以上慢性疾病者共86人(男性80人,女性6人),不同年龄组研究对象常见慢性疾病共病情况比较,差异有统计学意义(P<0.05)。研究对象常见慢性疾病患病率位列前5位的依次为白内障(91例,73.98%)、前列腺增生(88例,71.54%)、高血压(77例,62.60%)、高脂血症(56例,45.53%)及糖尿病(36例,29.27%)。结论随着个体年龄的增长,共病呈现疾病种类数增加、病情复杂的态势。因此,保健工作者需要转变观念,积极关注老年保健对象增龄化改变,充分认识老年共病,学习共病管理的新思维,以更好地维护保健对象的生命质量。更多还原

【Abstract】 Objective To investigate the chronic comorbidities among elderly healthcare objects,so as to provide evidence for clinical decision-making.Methods Based on the method of random sampling,123 cadres aged over 65 years who underwent health check-up in a Beijing hospital during the period from October 2015 to July 2016 were included in this survey.Results The average number of comorbidities was 3.52±1.48 in the overall population;2.80±1.05,3.45±1.58 and 4.29±1.45 in the young old(65~<75 years old),middle old(75~<85 years old)and very old(≥85 years old)groups,respectively.The differences in the average number of comorbidities were statistically significant among different age groups(P<0.05).Pairwise comparisons showed that,the average number of comorbidities in the very old group was much higher than those in the young old or middle old groups(P<0.05).Five cadres(all males)had only one kind of comorbidity,32(all males)had two kinds of comorbidities,and the other 86(80 males,6 females)had at least three kinds of comorbidities;the differences were statistically significant among different age groups(P <0.05).The most common comorbidities were cataract(91,73.98%),prostatic hyperplasia(88,71.54%),hypertension(77,62.60%),hyperlipedemia(56,45.53%)and diabetes(36,29.27%).Conclusion The number and complexity of comorbidities tend to increase with advancing age.Thus,it is important for healthcare providers to pay close attention to age-related changes in elderly healthcare objects,be fully aware of their comorbidities,and learn new ideas about comorbidity management,so as to maintain and improve their quality of life.更多还原