老年人群慢性病共病病因调查及预后分析  

Investigation and prognostic analysis of chronic diseaseco-morbidity in the elderly population

作　　者：郑群[1] 刘圣麒 谢玲俐 ZHENG Qun;LIU Shengqi;XIE Lingli(Health Management and Physical Examination Center,Chengdu Fifth People′s Hospital,Chengdu,Sichuan 611130,China;Department of Pathology,Chengdu Second People′s Hospital,Chengdu,Sichuan 6100021,China)

机构地区：[1]成都市第五人民医院健康管理体检中心,四川成都611130 [2]成都市第二人民医院病理科,四川成都6100021

出　　处：《公共卫生与预防医学》2024年第3期103-106,共4页Journal of Public Health and Preventive Medicine

摘　　要：目的探究老年人群慢性病共病病因调查及预后分析。方法筛选2019年1月至2021年12月于成都市第五人民医院就诊和治疗的1475例老年患者资料,分析其患病现状、共病组合及模式、共病影响因素、预后情况。结果1475例老年慢性病患者中患病率前4分别为高血压555例(37.63%)、胃部或消化道疾病445例(30.17%)、关节炎或风湿病427例(28.95%)和糖尿病329例(26.58%)。1475例老年慢性病患者共病1034例,共病率为70.10%。二元患病组合占比58.41%,三元患病组合占比41.59%。女性、年龄>70周岁、有慢性病家族史、超重/肥胖、日常不运动、有饮酒/吸烟史、睡眠质量差、不良饮食习惯为影响老年慢性病患者共病的独立影响因素(OR_(性别为女)=2.413,OR_(年龄)≥70=1.670,OR_(有慢性病家族史)=2.846,OR_(超重/肥胖)=2.570,OR_(日常不运动)=1.802,OR_(有饮酒史)=3.543,OR_(有吸烟史)=1.784,OR_(睡眠质量差)=2.128,OR_(不良饮食习惯)=2.085,均P<0.05),差异有统计学意义。相较于未共病的老年慢性病患者,共病患者原发病加重/急症再入院几率更高、新发慢性病几率更低(X^(2)_(原发病加重/急症再入院)=10.726,X^(2)_(新发慢性病)=5.873,均P<0.05),差异有统计学意义。结论性别、年龄、慢性病史、BMI和生活习惯是影响老年慢性病患者共病的重要因素,共病患者预后相对较差,应依据影响因素给予针对性诊治方案,从而减少共病率并改善预后。Objective To investigate the investigation of co-morbidity etiology and prognosis analysis of chronic diseases in the elderly population.Methods The data of 1475 elderly patients who were seen and treated in Chengdu Fifth People′s Hospital from January 2019 to December 2021 were screened to analyze their disease status,co-morbidity combinations and patterns,co-morbidity influencing factors,and prognosis.Results The top four prevalence rates among 1475 elderly patients with chronic diseases were hypertension 555(37.63%),gastric or gastrointestinal diseases 445(30.17%),arthritis or rheumatism 427(28.95%),and diabetes 329(26.58%).1034 co-morbidities were found in 1475 elderly patients with chronic diseases,with a co-morbidity rate of 70.10%.The binary disease combination accounted for 58.41%and the ternary disease combination accounted for 41.59%.Female,age>70 years,family history of chronic diseases,overweight/obesity,daily physical inactivity,history of alcohol/smoking,poor sleep quality,and poor dietary habits were the independent influencing factors for co-morbidity in elderly patients with chronic diseases(OR_(female)=2.413,OR_(age)≥70=1.670,OR family history of chronic diseases=2.846,OR_(overweight/obesity)=2.570,OR_(daily inactivity)=1.802,OR_( history of alcohol consumption)=3.543,OR_(history of smoking)=1.784,OR_(poor sleep quality)=2.128,OR_(unhealthy dietary habits)=2.085,all P<0.05).Compared with elderly patients with chronic diseases without co-morbidity,patients with co-morbidity had higher odds of exacerbation of the original disease/acute readmission and lower odds of new chronic disease(χ^(2)_(primary exacerbation/emergency readmission)=10.726,χ^(2)_(new chronic disease)=5.873,all P<0.05).Conclusion Gender,age,chronic disease history,BMI,and lifestyle habits are important factors influencing co-morbidity in elderly patients with chronic diseases,and patients with co-morbidity have a relatively poor prognosis.

关 键 词：老年人 慢性病 共病 预后 

分 类 号：R181[医药卫生—流行病学]