驻穗部队离退休老干部死亡病例分析  

Analysis of deaths in an army population of elderly veterans in Guangzhou city

作　　者：王晓会[1] 谢志泉[1] 

机构地区：[1]广州军区广州总医院,广东广州510010

出　　处：《海南医学》2012年第16期66-68,共3页Hainan Medical Journal

摘　　要：目的分析驻穗部队老年人群死因及慢性基础疾病的构成特点,为老年卫生保健提供依据。方法回顾性分析2003-2010年广州部队559例老年干部死亡的临床资料。结果老年人死因前三位是恶性肿瘤(占51.5%)、心脑血管病(占24.3%),呼吸道疾病(占13.8%)。最常见的慢性基础疾病是冠心病(74.8%)、高血压病(73.3%)、脑卒中后遗症(36.0%)、糖尿病(33.2%)及COPD(34.0%)。2种及2种以上慢性基础疾病占82.5%。肺部感染(83.0%)及多脏器功能衰竭(MODS)(48.0%)是主要院内并发症。结论加强心脑血管慢性病综合防治及肿瘤早期筛查,预防院内感染及MODS是老年卫生保健的重要内容。Objective To analyze the cause of death, underlying diseases and complications constitute the major characteristics in elderly southern army, and to provide basic health care for the elderly. Methods The clinical data of 559 killed elderly patients were retrospectively analyzed in Guangzhou military from 2003 to 2010. Results The top three causes of death were cancer （accounting for 51.5%）, cardiovascular diseases （accounting for 24.3%）, and re- spiratory disease （accounting for 13.7%）. The most common chronic underlying diseases were coronary heart disease （74.8%）, hypertension （73.3%）, stroke sequelae （36.0%）, diabetes （33.2%）, and COPD （34.0%）. Two kinds and more than two kinds of chronic underlying diseases accounted for 82.5%. Lung infection （84.9%） and multiple organ failure （MODS, 49.1%） were major hospital complications. Conclusion The key points of health care of the elderly are to strengthen the prevention of cardiovascular disease and early cancer screening, as well as to prevent nosocomial infec- tion and MODS.

关 键 词：老年人 死因 基础疾病 院内并发症 

分 类 号：R195.1[医药卫生—卫生统计学]