2005-2014年我院老年住院患者疾病谱构成及顺位分析

Disease spectrum changes in elderly inpatients in Chinese PLA General Hospital from 2005 to 2014

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。

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 2014 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 hospitalization in the elderly patients of our hospital.