武汉市金银潭医院75例老年新型冠状病毒肺炎患者临床特征分析

Analysis of Clinical Characteristics of 75 Elderly Patients with COVID-19 in Jinyintan Hospital of Wuhan City

目的探讨老年(≥60周岁)新型冠状病毒肺炎(COVID-19)患者临床特征。方法回顾性分析武汉市金银潭医院北二病区2020年1月15日-3月8日间收治已出院的COVID-19患者171例,按照年龄分为两组,A组:老年患者75例,B组:非老年(<60岁)患者96例,比较两组患者临床症状、发病时间、临床分型、肺部影像学、核酸转阴时间、住院天数、发热天数、死亡病例等。结果 A组患者呼吸道症状相对较轻,呼吸道以外症状比较多见(P<0.05),肺部病变范围>75%较B组患者比例大,重症发生率明显升高(P<0.05);A组住院天数明显延长(P<0.05),病死率高(P<0.05)。结论老年COVID-19患者重症发生率和病死率较高,应注意尽早发现,尽早干预,减少重症发生以提高生存率。

Objective To explore the clinical characteristics of the elderly(≥60 years old)patients with COVID-19.Methods The clinical data of 171 patients with COVID-19 who had been discharged from the north second ward of Jinyintan hospital of Wuhan city from January 15,2020 to March 8,2020 were collected and analyzed.Patients were divided into two groups,A total of 75 elderly patients in group A,and 96 non-elderly patients(<60 years old)in group B.Clinical characteristics,time of onset,clinical classification,imaging presentation of lung,time of nucleic acid transferred into negative,hospitalization days,fever days and death cases in two groups were analyzed.Results Respiratory symptoms of group A were relatively mild,and non-respiratory symptoms were more common(P<0.05).The percent of lung lesions more than 75%in group A was bigger than that of group B,and the incidence of severe diseases in group A was significantly higher(P<0.05);In group A,the time of patients stay at hospital was significantly longer than group B,and the death rate was higher(P<0.05).Conclusion The elderly patients with COVID-19 had a higher incidence of severe disease and mortality.Attention should be paid to early detection and intervention to reduce the incidence of severe disease to improve survival rate in elderly patients with COVID-19.