2006～2009年成都地区军队离退休干部慢性病及死因分析

The analysis on chronic diseases and death causes of retired cadres in chengdu area from 2006 to 2009

目的了解成都地区军队离退休老干部慢性病患病情况及死因构成,为老年疾病的防治和老干部保健工作提供科学依据。方法根据本院2006～2009年度体检及住院期间病案资料,采用ICD-10编码为标准进行分类,对年龄大于或等于65岁老干部的慢性病、死亡资料进行分析。结果 (1)受调查离退休老干部患14个系统221种慢性病,其中96.21%同时患2种以上疾病;(2)患病率居前5位的疾病大类为泌尿及生殖系统疾病(83.18%)、循环系统疾病(79.06%)、内分泌、营养和代谢疾病(29.09%)、呼吸系统疾病(24.11%)、消化系统疾病(22.98%);(3)单病种以前列腺增生(72.25%)、高血压(58.16%)、冠心病(40.89%)、脑梗死(35.03%)、糖尿病(25.97%)为主;(4)死因构成前4位依次为恶性肿瘤(31.03%)、循环系统疾病(26.43%)、呼吸系统疾病(14.37%)、消化系统疾病(13.22%)。结论绝大多数离退休老干部同时患有多种慢性疾病,应进一步有针对性地加强医疗保健工作,以降低各系统疾病的患病率及死亡率。

Objective To evaluate the situation of chronic disease and death causes among the retired cadres in Chengdu area from 2006 to 2009,grasp the laws of development of age-related chronic diseases and explore the medical care interventions of the age-related diseases to provide a scientific basis for prevention and treatment of age-related diseases of cadres.Methods According to the medical record data of annum health examination and hospitalized patients in our hospital from 2006 to 2009,using ICD-10 codes for the standard classification,data of patients aged≥65 years were analyzed.Results（1）The result demonstrated that the retired cadres suffered from 14 major categories 221 kinds of diseases,and 96.21% of them suffering from two kinds of diseases or more.（2）The top five major categories of diseases for prevalence rate were genitourinary system diseases（83.18%）,circulatory system diseases（79.06%）,endocrine and metabolism system diseases（29.09%）,respiratory system diseases（24.11%）,and digestive system diseases（22.98%）.（3）The most common diseases of high morbidity were respectively benign prostatic hyperplasia（72.25%）,hypertension（58.16%）,coronaryartery disease（40.89%）,cerebral infarction（35.03%）,and diabetes（25.97%）.（4）The top four death causes were malignant tumor（31.03%）,cardiovascular disease（26.43%）,respiratory disease（14.37%） and digestive disease（13.22%）.Conclusion Most of the retired cadres suffer the diseases with more categories and more kinds.We should take more attention to the prevention and control of chronic diseases of retired cadres to reduce the morbidity and mortality.