老年住院病人慢性病共病模式分析  

Multi-morbidity patterns of chronic diseases in elderly in-hospital patients

作　　者：陈静[1] 刘海燕[1] 李建中[1] 唐海英[1] 浦剑虹[1] CHEN Jing;LIU Hai-yan;LI Jian-zhong;TANG Hai-ying;PU Jian-hong(Department of Geriatrics,the First Affiliated Hospital of Suzhou University,Suzhou 215006,China)

机构地区：[1]苏州大学附属第一医院老年医学科,江苏省苏州市215006

出　　处：《实用老年医学》2018年第8期766-769,共4页Practical Geriatrics

摘　　要：目的了解老年住院病人慢性病患病数量及常见的2种、3种慢性病共病模式。方法选取苏州大学附属第一医院内科2011年12月至2016年12月≥65岁的老年住院病人,记录所有的出院诊断,根据既往文献纳入19种慢性病进行分析。结果共入选26 100例病人,慢性病患病数量范围为0~10种,其中患1~3种慢性病的有20 186例,占77.3%,且患病数量随年龄增长而增加。2种慢性病组合模式中排前3位的为高血压+冠心病(17.2%)、高血压+糖尿病(13.8%)、高血压+脑血管疾病(11.4%)。3种慢性病组合模式中排前3位的为高血压+冠心病+心功能不全(5.1%)、高血压+糖尿病+冠心病(4.6%)、高血压+糖尿病+脑血管疾病(4.2%)。男性病人中高血压合并冠心病、心功能不全、恶性肿瘤、慢性阻塞性肺疾病、慢性肾功能不全的比例较高,女性病人中高血压合并糖尿病、心房颤动的比例较高。大部分2种和3种慢性病组合模式的患病率随年龄增长而增加。结论老年住院病人慢性病患病数量随年龄增长而增加。高血压、糖尿病、冠心病、心功能不全、心房颤动、脑血管疾病是共病组合模式中常见的疾病。不同性别、不同年龄慢性病组合模式分布有所不同。Objective To explore the number of multi-morbidity of chronic diseases in the elderly in-hospital patients and the most frequent multiple co-morbid patterns of two or three kinds of chronic diseases. Methods A total of 26 100 elderly in-hospital patients aged ≥65 years old collected from Department of Internal Medicine of the First Affiliated Hospital of Suzhou University from December 2011 to December 2016 were analyzed,and all the discharge diagnosis,including 19 kinds of chronic diseases were recorded for analysis. Results In 26 100 patients,the numbers of their co-morbid diseases ranged from 0 to 10,and the patients suffering form 1 to 3 kinds of diseases accounted for 77. 3%（ 20 186）. Hypertension ＋coronary heart disease（ 17. 2%）,hypertension ＋diabetes mellitus（ 13. 8%）,hypertension ＋ cerebrovascular disease（ 11. 4%） were the top three patterns of 2 kinds of disease combination. Hypertension＋coronary heart disease＋heart failure（ 5. 1%）,hypertension＋diabetes mellitus＋coronary heart disease（ 4. 6%）,hypertension ＋diabetes mellitus ＋cerebrovascular disease（ 4. 2%） were the top three patterns of 3 kinds of disease combination. The prevalence of hypertension combined with coronary heart disease,heart failure,cancer,chronic obstructive pulmonary disease,chronic renal function failure were higher in men. The prevalence of hypertension combined with diabetes mellitus and atrial fibrillation were higher in women. The prevalence of the most co-morbidity patterns increased with age. Conclusions The number of diseases in the elderly patients was increased with age.Hypertension, diabetes mellitus, coronary heart disease, heart failure, atrial fibrillation and cerebrovascular disease were the most prevalent co-morbid conditions. Multi-morbidity patterns have diversity in different sex and age.

关 键 词：老年人 慢性病 共病模式 

分 类 号：R592[医药卫生—老年医学]