住院老年共病患者的慢性疾病和老年综合征分析  

Investigation of chronic disease and geriatric syndrome in hospitalized elderly patients with multimorbidity

作　　者：管丽娟[1] 邓明洪 王凌霄 陈善萍 刘茜 李婷[1] 沈静[1] 郑晓梅[1] 赖荣美 汪必会 Guan Lijuan;Deng Minghong;Wang Lingxiao;Chen Shanping;Liu Qian;Li Ting;Shen Jing;Zheng Xiaomei;Lai Rongmei;Wang Bihui(Department of Geriatrics, the Fifth People's Hospital of Chengdu, Chengdu 611130, China)

机构地区：[1]成都市第五人民医院老年病科,611130

出　　处：《中华老年医学杂志》2019年第2期176-180,共5页Chinese Journal of Geriatrics

基　　金：2015年四川省卫计委资助项目(150021).

摘　　要：目的通过慢性疾病调查及老年综合评估,了解住院老年共病患者的慢性疾病及老年综合征的分布情况。方法选取我院老年病科住院的176例≥60岁的共病患者,收集患者的一般情况,记录所患慢性疾病,并完善老年综合评估,检测生化等指标。结果所有患者均患有2种及以上的慢性疾病,最常见的前3位慢性疾病为高血压(112例)、糖尿病(94例)、呼吸系统疾病(73例);慢性疾病总数≥3种者共137例,≥4种者共78例,≥5种者共40例;慢性疾病数量呈现随年龄增加而增加的趋势。175例患者均存在≥1种老年综合征,前三位老年综合征分别为衰弱及衰弱前期(133例)、视力障碍(117例)、日常活动能力受损(107例);老年综合征数量在各年龄段分布差异显著(χ2=16.989,P<0.001)。Spearman秩相关分析发现,老年综合征数量与年龄呈正相关(r=0.307,P<0.001)。结论慢性疾病及老年综合征在住院共病老年人中患病率高,且随着年龄增加而升高;对老年患者进行诊治时,应重视慢性疾病的管理及老年综合征的筛查。ObjectiveTo investigate the distribution of chronic disease and geriatric syndrome in hospitalized elderly patients with multimorbidity by chronic disease investigation and comprehensive geriatric assessment. MethodsA total of 176 patients aged ≥60 years admitted into the geriatric department in our hospital were selected, and demographic factors were collected.Their chronic diseases and geriatric syndrome were recorded.The comprehensive geriatric assessment was consummated, and the biochemical indicators for chronic disease and geriatric syndrome were detected. ResultsAll patients suffered from two or more kinds of chronic diseases.The top three most common diseases were hypertension(112 cases), diabetes(94 cases), and respiratory diseases(73 cases). The sum of chronic diseases kinds were ≥3 in 137 patients, ≥4 in 78 patients, ≥5 in 40 patients.The amount of chronic diseases showed an increased tendency along with ageing.Totally 175 patients had more than one geriatric syndrome, the top three most common types were frailty and pre-frailty(133 cases), visual impairment(117 cases), impaired daily activities(107 cases). There were significant differences in the number of geriatric syndrome among different age groups(χ^2=16.989, P<0.001). Spearman analysis showed that the number of patients with geriatric syndrome were positively correlated with age(r=0.307, P<0.001). ConclusionsThe prevalence of chronic disease and geriatric syndrome is high in hospitalized elderly patients with multimorbidity, which is increased with aging.We should pay attention to the screening of chronic disease and geriatric syndrome in multimorbid elderly patients.

关 键 词：住院 共病 慢性疾病 老年综合征 

分 类 号：R592[医药卫生—老年医学]