老年骨科患者并存内科系统疾病调查分析

Analysis of coexisting internal medical diseases in elderly patients in orthopedic department

目的调查老年骨科患者合并内科系统疾病情况,为临床评估手术与麻醉风险提供依据。方法通过病史、体检、实验室和影像学检查对404例老年骨科患者的内科并存疾病进行调查。结果1.在404例老年骨科患者中,合并高血压病、冠心病、糖尿病、脑血管意外病史和慢性支气管炎、慢性阻塞性肺疾病的发生率分别为:48.0%、30.4%、15.1%、12.6%和10.9%。2.高龄患者(年龄≥75岁)合并冠心病、脑血管意外病史几率明显增高(P=0.001和P=0.019)。3.老年骨科患者中女性合并冠心病和糖尿病的比例高于男性(P=0.011和P=0.002)。结论老年骨科患者最易合并的内科疾病为高血压病,高龄女性骨科患者更易合并冠心病、糖尿病和脑血管意外病史。

Objective To investigate the coexisting internal medical diseases in elderly orthopedic patients,in order to provide evidence for risk evaluation of surgery and anesthesia.Methods Four hundred and four elderly orthopedic patients were investigated for the coexisting internal medical diseases through medical history,physical examination,and laboratory and image examination.Results 1） The incidence of coexisting hypertension,coronary heart disease,diabetes,cerebrovascular accidence history,and bronchitis emphysema were 48.0%,30.4%,15.1%,12.6%,and 10.9%,respectively,in the 404 cases of elder orthopedic patients.2） The incidence of coexisting coronary heart disease,cerebrovascular accidence history in elderly patients（over 75 years old） was significantly higher（P=0.001 and P=0.019）.3） The proportion of coexisting coronary heart disease and diabetes in females was higher than in males in the elderly orthopedic patients（P=0.011 and P=0.002）.Conclusion Hypertension is the most frequent age-related coexisting disease in elderly orthopedic patients.Elderly females are more vulnerable to coronary heart disease,diabetes,and history cerebrovascular accidence.