惠州市某三甲综合医院2016-2019年老年住院患者疾病构成调查  

A survey on the disease composition of elderly inpatients in a third-class general hospital of Huizhou from 2016 to 2019

作　　者：翁志雄[1] 余志金[2] 陈树丹[3] 余蓉[1] WENG Zhixiong;YU Zhijin;CHEN Shudan;YU Rong(Medical Quality Control and Management Department of Huizhou Central People’s Hospital,Guangdong Province,Huizhou 516001,China;Department of Gastroenterology,Huizhou Central People's Hospital,Guangdong Province,Huizhou 516001,China;Department of Geniatrics,Huizhou Central People's Hospital,Guangdong Province,Huizhou 516001.China)

机构地区：[1]广东省惠州市中心人民医院医疗质量控制管理部,广东惠州516001 [2]广东省惠州市中心人民医院消化内科,广东惠州516001 [3]广东省惠州市中心人民医院老年病科,广东惠州516001

出　　处：《中国医药科学》2020年第14期21-25,50,共6页China Medicine And Pharmacy

基　　金：广东省惠州市科技计划项目(2019Y029)。

摘　　要：目的 回顾性调查广东省惠州市某三甲综合医院近4年的老年住院患者疾病构成和变化趋势,为该地区提高老年性疾病的防治水平、制定卫生健康管理策略提供参考依据.方法 通过检索该院的"广东省医疗机构病案统计管理系统",收集在2016-2019年全部60岁及以上住院患者病案首页信息资料,按照国际疾病分类ICD-10对主要诊断进行系统分类,整理、统计、对比和分析系统疾病种类、疾病构成比及顺位变化趋势.结果 2016-2019年,某院60岁及以上住院患者共计114093例,其构成比呈现逐年上升趋势.病例数主要集中在60-69岁,构成比达51.51%.60-79岁男性患者构成比显著高于女性,差异有统计学意义(χ^2=108.291,P=0.000).前10位所患系统疾病依次为循环系统疾病、影响健康状态和保健机构接触因素、呼吸系统疾病、眼和附器疾病、肌肉骨骼系统和结缔组织疾病、肿瘤、消化系统疾病、泌尿生殖系统疾病、损伤中毒和外因的某些其他后果、内分泌营养和代谢类疾病,总构成比达90.88%,这些系统疾病在近4年构成比与其他系统疾病构成比差异有统计学意义(χ^2=246.782,P<0.05).80岁及以上年龄组前2位疾病依次为循环、呼吸系统疾病.老年死亡患者前3位致死疾病分别为肿瘤(28.27%)、循环系统疾病(27.88%)、呼吸系统疾病(22.32%),其累计构成比为78.47%.结论 该院老年住院患者前10位系统疾病构成比在各年份和年龄段相对集中,顺位变化不大,是该地区老年患者常见病、多发病,而肿瘤、循环系统疾病、呼吸系统疾病是该地区老年患者前3位主要致死疾病.因此,医院应提升这些老年人重点疾病诊治水平,并为该地区卫生健康行政部门做好老年人群医疗保健和疾病预防提供基础数据.Objective To investigate the disease composition and change trend of elderly inpatients in third class general hospital in Huizhou City,Guangdong Province in the past four years,so as to provide reference for improving the prevention and control level of elderly diseases and formulating health management strategies in this area. Methods The case records of no less than 60-year-old inpatients were extracted from "medical records statistics management system of Guangdong medical institutions" in hospital from 2016 to 2019,and based on the first diagnose,the diseases were classified according to the International Classification of Diseases(ICD-10).Collection,stat istics,comparison and analysis were done the disease categories,disease composition ratio and sequence change trend. Results From 2016 to 2019,the total number of inpatients no less than 60 years old was 114 093,and the constituent ratio of hospitalized elderly patients showed an increasing trend year by year.The number of cases mainly concentrated in the age group of 60-69 years old,and the proportion was 51.51%.The proportion of male patients aged 60-79 was significantly higher than that of female patients,the difference was statistically significant(χ~2=108.291,P=0.000).The top ten categories were diseases of the circulatory system,influencing health status and contacting with health services,respiratory,eye and appendage diseases,musculoskeletal system and connective tissues,neoplasm,digestive system,genitourinary,injuries and poisoning and some other consequences of external causes,endocrine nutrition and metabolic diseases,the cumulative constituent ratio was 90.88%.The difference between the proportions of these diseases and other diseases in the past four years was statistically significant(χ^2=246.782,P < 0.05).The top two diseases in the age group 80 and over were circulatory and respiratory diseases in turn.The three leading causes of death were neoplasm(28.27%),circulatory(27.88%) and respiratory(22.32%),and the cumulative constituent ratio of

关 键 词：三级医院 老年 住院患者 疾病构成 变化趋势 

分 类 号：R197.3[医药卫生—卫生事业管理]