老年人内科疾病分布及临床用药特点

Distribution and Medicinal Characteristic of the Senile Medical Disease

目的:探讨老年人疾病分布状况及临床用药特点。方法:通过对市级民营综合医院2009年内科门诊患者药物处方随机抽样,统计处方用药构成比并排序分析,据此推算老年人内科疾病的分布状况及临床用药特点。结果:该医院2009年内科门诊药物处方老年人占53.4%,其中心脑血管药物处方老年人占67.7%;老年人药物处方构成比按大小顺序依次为心脑血管药、抗菌抗病毒药、内分泌药、胃肠消化药、解热、镇痛抗炎药、神经精神药及抗肿瘤药;老年人疾病的分布依次为心脑血管疾病、感染性疾病、内分泌疾病、胃肠消化疾病、发热、疼痛炎性疾病、神经精神性疾病及肿瘤。结论:老年人用药及老年性疾病已成为临床内科用药和疾病防治的首要问题。

Objective：To explore distribution and medicinal characteristic of the senile disease.Methods：The prescription of year 2009 medical clinic patients in the municipal private general hospital was randomly sampled,constitution ratio of prescription and the sequence in arrangement were analyzed.The distribution state and clinical medicine feature of senile medical disease were calculated accordingly.Results：In 2009 ambulant clinic of this hospital senile prescription occupied 53.4%,Among them,The senile prescription occupied for 67.7% of cardio-cerebral vascular.According to the sequence of constitution ratio of senile prescription,ambulant clinic medicine ordinally were cardio-cerebral vascular,antimicrobial and antiviral,endocrine,gastrointestinal digestion,antipyretic.analgesic,anti-inflammatory,neuropsychic and antitumor drugs.The distribution of senile disease were ordinally cardio-cerebral vascular disease,infective disease,endocrine disease,gastrointestinal digestion,fever pain inflammatory,neuropsychic disease and tumor.Conclusions：Senile medicine and disease had become chief problems of clinical medicine prescription and disease prevention.