老年冠心病患者住院治疗状况统计调查分析  

Statistical Investigation and Analysis of Hospitalization Status of Elderly Patients with Coronary Heart Disease

作　　者：刘文慧[1] LIU Wen-hui(Hetao Institute,Bayan Nut,Inner Mongolia 015000)

机构地区：[1]河套学院,内蒙古巴彦淖尔015000

出　　处：《智慧健康》2018年第28期34-36,共3页Smart Healthcare

基　　金：河套学院重点培育平台--巴彦淖尔市老年慢性病病因及防控研究中心项目

摘　　要：目的对本地区三级甲等医院老年冠心病患者的住院治疗情况进行调查分析,探究老年冠心病患者在住院接受诊疗期间存在的问题,并提出对策。方法以1200例冠心病患者为研究对象,采集全部老年冠心病患者的住院信息及相关临床信息,院后1年开展随访工作,详细记录患者的院后终点指标及不良事件的发生情况。结果 1200例冠心病患者的合并症包括糖尿病(38.33%)、高血压(70.00%)、心绞痛(51.67%)、心功能不全(56.67%)、心肌梗死(43.33%)、周围血管病(5.67%)、脑血管病(22.42%)、高脂血症(13.33%)。糖尿病、高血压、高脂血症、血运重建、抗血小板类及他汀调脂类药物对冠心病住院患者的影响最为显著。结论冠心病预防工作有待加强,需要医院严格按照相关指南实践医疗任务,将综合干预措施、危险因素控制作为预防心血管事件发生的主要策略。Objective To investigate the hospitalization of elderly patients with coronary heart disease in tertiary hospitals in the district, and to explore the problems existing in the elderly patients with coronary heart disease during hospitalization and to propose countermeasures. Methods A total of 1200 patients with coronary heart disease were enrolled in this study. The hospitalization information and related clinical information of all elderly patients with coronary heart disease were collected. The follow-up work was performed 1 year after the hospital. The post-hospital endpoints and adverse events were recorded in detail. Results The comorbidities of 1200 patients with coronary heart disease included diabetes(38.33%), hypertension(70.00%), angina pectoris(51.67%), cardiac insufficiency(56.67%), myocardial infarction(43.33%), and surrounding Vascular disease patients(5.67%), cerebrovascular disease(22.42%), hyperlipidemia(13.33%). Diabetes, hypertension, hyperlipidemia, revascularization, antiplatelet and statin lipidlowering drugs have the most significant impact on patients with coronary heart disease. Conclusion The prevention of coronary heart disease needs to be strengthened. It is necessary for hospitals to strictly follow the relevant guidelines to practice medical tasks, and comprehensive intervention measures and risk factors control are the main strategies for preventing cardiovascular events.

关 键 词：老年 冠心病 住院治疗 对策 

分 类 号：R541.4[医药卫生—心血管疾病]