南京某三甲医院老年住院患者疾病构成分析  

Analysis of Disease Composition of Geriatric Inpatients in a Tertiary Hospital in Nanjing

作　　者：赵欣 王婕 Zhao Xin;Wang Jie(Nanjing Jiangning Hospital,Nanjing 211100,Jiangsu Province,China;不详)

机构地区：[1]南京市江宁医院,江苏省南京市211100

出　　处：《中国病案》2024年第11期68-71,共4页Chinese Medical Record

摘　　要：目的分析老年住院患者的疾病构成及分布特征,为优化老年患者医疗服务提供数据支持。方法回顾性分析2019年1月1日-2023年12月31日南京某三甲医院60岁以上住院患者的住院病案首页资料,统计前10位疾病构成,分析不同年份、性别和年龄的疾病分布及顺位变化。结果老年住院患者病例164610例,前10位疾病构成总体保持稳定,其他医疗照顾占比13.8%居首位,其次为短暂性脑缺血发作、脑梗死、其他脑血管病、慢性缺血性心脏病。男性慢性阻塞性肺病比例较高,而女性2型糖尿病、胆石症比例较高。随着年龄的增长,心脑血管和呼吸系统疾病的顺位趋于稳定或上升,其他病种占比下降。结论老年患者慢性病发病率高,不同性别、年龄段患者主要病种存在差异,高龄患者心脑血管疾病尤为高发,应合理配置医疗资源。Objectives This study aims to analyze the disease composition and distribution characteristics of elderly hospitalized patients to provide data support for optimizing medical services for elderly patients.Methods The front-page data of hospitalized patients aged 60 years and above in a tertiary hospital in Nanjing from January 1,2019 to December 31,2023 were retrospectively analyzed.The top ten disease compositions were statistically analyzed,and the distribution and ranking changes of diseases across different years,genders,and ages were examined.Results A total of 164,610 cases of elderly inpatients were included.The composition of the top 10 diseases remained stable overall.Other medical care accounted for 13.8%,ranking first,followed by transient ischemic attack,cerebral infarction,other cerebrovascular diseases and chronic ischemic heart diseases.The proportion of chronic obstructive pulmonary disease was higher in men,while the proportion of type 2 diabetes and cholelithiasis was higher in women.As age increases,the ranking of cardiovascular and respiratory diseases tended to stabilize or rise,while the proportion of other diseases decreased.Conclusions The incidence of chronic diseases among elderly patients is high,and there are differences in the main diseases among patients of different genders and age groups,with a particularly high prevalence of cardiovascular and cerebrovascular diseases among the elderly.Medical resources should be allocated rationally.

关 键 词：老年患者 住院患者 疾病构成 病种顺位 

分 类 号：R197.32[医药卫生—卫生事业管理]