【摘要】 目的:探索眼科专科医院内科慢性疾病管理的重点和方向。方法:回顾性选取2015年1-12月本院60岁及以上入院手术患者7306例,按年龄分为3组:A组(60～69岁)、B组(70～79岁)、C组(≥80岁),统计其合并内科慢性疾病情况及会诊原因。结果:老年眼科患者合并内科慢性疾病比例55.32%,主要为高血压病(41.53%)、糖尿病(18.78%)、冠心病(10.46%)。内科会诊比例8.51%,血压高(61.09%)、血糖高(33.44%)是会诊主要原因。合并内科慢性疾病比例B组与C组接近,但高于A组,三组比较差异有统计学意义(P=0.000),其中A组分别与B和C组比较差异均有统计学意义(P<0.05)。内科会诊比例C组最高10.19%,其次为A组8.63%,B组最小为7.80%,三组比较差异有统计学意义(P<0.05),其中B组与C组比较差异有统计学意义(P=0.007)。血压高及血糖高导致会诊统计,三组整体及组内比较差异均有统计学意义(P<0.05),其中因血压高导致会诊C组最高74.29%,因血糖导致会诊A组最高45.54%。结论:老年眼科患者合并内科疾病的比例高,C组患者的患病率及会诊率高,是重点关注的对象;高血压病、糖尿病、冠心病是老年眼科患者合并的主要内科疾病;血压高血糖高是会诊的主要原因,C组和A组分别是监测血压和血糖的重点人群。更多还原

【Abstract】 Objective:To explore the key points and direction of chronic diseas management in ophthalmology hospital.Method:7306 surgery patients over 60 years old in our hospital were selected,they were divided into three groups:group A(60-69 years old),group B(70-79 years old)and group C(≥80 years old).Statistics of these patients with chronic diseases of internal medicine and the causes of medical consultation were analysed.Result:The proportion of elderly patients who with chronic diseases of internal medicine was 55.32%,among those diseaseshypertension accounts for 41.53%,diabetes accounts for 18.78%,coronary heart disease accounts for 10.46%.Medical consultation was 8.51%,the main causes of consultation were high blood pressure(61.09%)and high blood glucose(33.44%).The proportion of chronic diseases associated with internal medicine in group B was close to that in group C,but higher than that in group A,there were significant difference between three groups(P<0.05),there were significant difference between the group A and B(P<0.05),group A and C(P<0.05).The highest proportion of C group was 53% in the proportion of medical consultation,the second was 8.63% in group A,the third was 7.80% in group B,there were significant difference between three groups(P<0.05),there were significant difference between the group A and B(P=0.007).High blood pressure and high blood sugar lead to medical consultation,there were significant difference between three groups(P<0.05).The group C was the highest proportion of consultation due to high blood pressure accounted for 74.29%,the group A was the highest proportion of consultation due to high blood glucose accounted for 45.54%.Conclusion:The proportion of elderly ophthalmic patients with internal diseases is high,the prevalence rate and consultation rate of group C patients are high,which is the focus of attention.Hypertension,diabetes mellitus and coronary heart disease are the main diseases of the elderly patients with eye diseases,High blood pressure and high blood glucose are the main causes of consultation.The group C and A are different focus groups to monitor blood pressure and blood glucose.更多还原