三级医院全科医学科围绝经期女性住院患者的临床特点研究  

Clinical Characteristics of Perimenopausal Inpatients in Department of General Practice in a Tertiary Hospital

作　　者：齐殿君[1] 何旖旎[1] 于晓松[1] 王爽[1] QI Dian -jun HE Yi- hi YU Xiao- song WANG Shuang(Department of General Practice, the First Affiliated Hospital of China Medical University, Shenyang 110001, China)

机构地区：[1]中国医科大学附属第一医院全科医学科,辽宁省沈阳市110001

出　　处：《中国全科医学》2017年第19期2373-2377,共5页Chinese General Practice

基　　金：国家自然科学基金资助项目(71273279)--基于全科医生连续性服务的整合式健康管理服务模式的研究

摘　　要：目的探讨三级医院全科医学科围绝经期女性住院患者的临床特点。方法在2014年1月—2016年6月中国医科大学附属第一医院全科医学科收治的2 265例住院患者中选取围绝经期女性患者563例(24.9%);另采用随机数字表法,在本院呼吸科、心内科、消化内科、内分泌科抽取同期住院的围绝经期女性患者各50例。采用问卷调查、查阅住院病志、电话随访相结合的方法,收集患者的临床信息,包括年龄、围绝经期综合征症状、主诉症状、诊断、慢性病患病情况及住院天数。结果 563例全科医学科围绝经期女性住院患者中,465例(82.6%)存在1种及以上围绝经期综合征症状,40~50岁患者存在1种及以上围绝经期综合征症状的发生率高于51~60岁患者,差异有统计学意义(P<0.05)。发生率排在前5位的围绝经期综合征症状分别为失眠(69.6%,392/563)、疲劳(65.5%,369/563)、潮热(61.5%,346/563)、出汗(57.0%,321/563)、焦虑(55.2%,311/563);发生率排在前5位的主诉症状分别为胸痛(31.1%,175/563)、头痛(13.9%,78/563)、心悸(9.9%,56/563)、腹痛(8.5%,48/563)、眩晕(4.3%,24/563);排在前5位的诊断疾病分别为高血压(32.0%,180/563)、血脂异常(25.8%,145/563)、心律失常(23.3%,131/563)、周围动脉硬化(19.5%,110/563)、糖尿病(14.6%,82/563)。共有慢性病患者518例(92.0%),慢性病共病患者423例(75.1%)。40~50岁患者的慢性病发生率、慢性病共病发生率低于51~60岁患者,差异有统计学意义(P<0.05)。563例患者的平均住院时间为(9.5±2.4)d,40~50岁患者的平均住院时间短于51~60岁患者,差异有统计学意义(P<0.05)。全科医学科围绝经期女性住院患者的慢性病共病发生率高于其他科室,平均住院时间长于其他科室,差异有统计学意义(P<0.05)。结论围绝经期女性患者在全科医学科住院患者中的占比较高,围绝经期综合征较为常见,慢性病和慢性病共病发生率高于其他内科病房,在全科Objective To discuss the clinical characteristics of perimenopausal inpatients in Department of General Practice in a tertiary hospital.Methods The enrolled participants were 763 perimenopausal women admitted in the First Affiliated Hospital of China Medical University from January 2014 to June 2016,including all the 563 perimenopausal women from Department of General Practice（24.9% of the total 2 265 inpatients in the department during the period）,and 200 randomly selected inpatients from Department of Respiratory Medicine,Department of Cardiovascular Medicine,Department of Gastroenterology and Department of Endocrinology with 50 in each.Questionnaire survey combined with reviewing medical records and telephone follow-up were used to collect the clinical data of the participants,covering age,perimenopausal symptoms,chief complaints,diagnosis,history of chronic disease,and length of stay.Results Of the 563 participants from Department of General Practice,82.6%（465/563） had 1 or more types of perimenopausal syndromes;participants aged 40-50 were more likely to have 1 or more types of perimenopausal syndromes than those aged 51-60（P〈0.05）;the 5 most common perimenopausal syndrome symptoms were insomnia [69.6%（392/563） ],fatigue [65.5%（369/563） ],hot flash [61.5%（346/563） ],sweating [57.0%（321/563） ],and anxiety [55.2%（311/563） ];the 5 most common chief complaints were chest pain [31.1%（175/563） ],headache [13.9%（78/563） ],heart palpitations [9.9%（56/563） ],abdominal pain [8.5%（48/563） ],and dizziness [4.3%（24/563） ];the top 5 diagnosed diseases were hypertension [32.0%（180/563） ],dyslipidemia [25.8%（145/563） ],arrhythmia [23.3%（131/563） ],peripheral arteriosclerosis [19.5%（110/563） ],and diabetes [14.6%（82/563） ];92.0%（518/563） had chronic diseases;75.1%（423/563） had multiple chronic conditions;participants in age group of 40-50 had lower incidences of chronic diseases and multiple chronic conditions than those in age group of 51-60�

关 键 词：围绝经期 三级医院 全科医学科 住院病人 临床特点 

分 类 号：R711.51[医药卫生—妇产科学]