2014年我院老年住院患者疾病谱构成及顺位分析-解放军医学院学报.PDF

1030 解放军医学院学报 Acad J Chin PLA Med Sch Oct 2016，37（10） 2005 - 2014 年我院老年住院患者疾病谱构成及顺位分析 边素艳，刘宏斌，刘宏伟，白永怿，朱启伟，张　帷，张　璐 解放军总医院 老年心血管内科，北京　100853 摘要 ：目的 分析近 10 年我院老年住院患者疾病谱的构成和变化趋势。方法 收集 2005 - 2014 年我院老年诊疗相关科室 出院病案资料，统计≥ 60 岁老年患者年龄及前 10 位疾病的种类、构成比、顺位变化。结果 共纳入 30 267 例老年住院患 者资料，平均年龄 (82.84±9.17) 岁，以 80 ~ 99 岁年龄段居多。循环系统疾病、肿瘤和呼吸系统疾病是住院前 3 位系统疾 病 ；其中，冠心病和下呼吸道感染是最常见的单病种疾病。因脑梗死、慢性胃炎和肺癌住院的构成比及顺位呈上升趋势。 结论 我院老年住院患者高龄化趋势严重，下呼吸道感染、缺血性心脑血管病和肺癌是主要住院病种。 关键词 ：住院病人 ；老年人，80 岁以上 ；疾病谱 中图分类号：R 181　文献标志码 ：A　文章编号：2095-5227(2016)10-1030-04　DOI ：10.3969/j.issn.2095-5227.2016.10.004 网络出版时间：2016-08-15 10:45　　　网络出版地址 ：/kcms/detail/11.3275.R1045.002.html Disease spectrum changes in elderly inpatients in Chinese PLA General Hospital from 2005 to 2014 BIAN Suyan, LIU Hongbin, LIU Hongwei, BAI Yongyi, ZHU Qiwei, ZHANG Wei, ZHANG Lu Department of Geriatric Cardiology, Chinese PLA General Hospital, Beij ing 100853, China Corresponding author: LIU Hongbin. Email: liuhbin30 1@ Abstract: Objective To analyze the changes of disease spectrum in elderly inpatients during recent ten years. Methods Medical records of patients aged 60 years or more from internal medicine or geriatric departments in our hospital from 2005 to 20 14 were retrospectively collected and analyzed. Results A total of 30 267 older inpatients with average age of (82.84 ±9.17) years were included, most of their age ranged from 80 to 99 years old. The top three first-listed diagnosis included circulatory system diseases, neoplasms and respiratory system diseases, among which coronary heart disease and lower respiratory tract infection were the most frequent causes for the elderly hospitalization. The proportions and ranks of cerebral infarction, chronic gastritis and lung cancer were rising. Conclusion The ageing problem in population poses great challenges for health-care system. Lower respiratory tract infection, ischemic heart disease and lung cancer are the main causes of