4398例老年冠心病患者合并疾病对住院时长的影响

The Effect of Combined Diseases With Coronary Heart Disease on the Length of Hospitalization Among 4398 Elderly Inpatients

目的了解老年冠心病患者合并疾病的特点,探索老年冠心病患者住院时长与合并疾病的关系。方法选取2005-05/2015-09在四川省人民医院住院60岁以上的老年冠心病患者4 398例进行回顾性分析,采用Wilcoxon和Kruskal-Wallis分析合并疾病类型对住院时间影响。结果 4 398例患者中,以合并1种和2种疾病的患者居多,分别占53.05%和17.85%,其中合并2种疾病的老年冠心病病例组住院时间最长(22.50±16.83天),P<0.05。合并内分泌系统疾病、神经系统疾病和泌尿系统疾病的老年冠心病患者住院时间较未合并组长(P<0.05);合并消化系统疾病的老年冠心病患者住院时间较未合并组短(P<0.05)。结论对因冠心病入院治疗的老年患者,需进行全面综合评估,根据不同的合并疾病,制定个性化的治疗方案,逐步形成老年冠心病患者治疗方案评分体系,从而提高患者的依从性,改善冠心病预后。

Objective To understand the characteristics of senile coronary heart disease patients＇ complications, and explore the correlation between complications and hospitalization time. Methods Retrospective analysis was applied among 4 398 senile coronary heart disease patients aging 60 years old and above, and the hospi- talization admission was from May, 2005 to Sep, 2015. Wilcoxon Signed Rank Test and Kruskal - Wallis Test were used. Results Among the 4 398 patients, 2 333 （53.05%） had one complication and 785 （ 17.85% ） had two complications. Elderly patients with coronary heart disease with 2 diseases were the longest hospital- ized patients （22. 50 ± 16.83d）, P 〈0. 05. Elderly patients with coronary artery disease complicated by en- docrine system diseases, nervous system diseases and urinary system diseases were hospitalized longer than those without （P 〈 0. 05 ）. While those who with digestive diseases were hospitalized shorter than those with- out （P 〈 0. 05）. Conclusion Comprehensive assessment should be implemented among senile coronary heart disease patients, and scoring system and individualized treatment plan should be made based on the assessing results, to further promote the compliancy and improve the prognosis.