老年慢性非传染性疾病患者新型冠状病毒肺炎疫情期间的风险与防护

Risk and protection of elderly patients with chronic non-communicable diseases during the COVID-19 epidemic

随着我国社会经济发展和卫生医疗水平的提高,我国人均预期寿命快速增长,社会人口结构不断变化,我国逐渐进入老龄化社会。老年人口的快速增长带来养老负担及医疗护理的需求增加。老年人群中慢性非传染性疾病(如高血压、糖尿病、慢性阻塞性肺疾病等)患病率高,导致器官功能受损,需定期门诊就诊随访,严重影响其生存质量,甚至是生命威胁。尤其当新型冠状病毒肺炎(COVID-19)在全球流行期间,一方面老年人群免疫力低下,对新型冠状病毒易感,且合并慢性基础病者更易发展为重症;另一方面,社会养老和护理机构中老年人群集体生活,对传染性疾病防控要求更高。因此,了解目前我国老年人群数量、慢性非感染性疾病患病率、慢性基础病管理需求,加强当前基层社区机构病毒防控措施,将有利于提高对该人群的关注和防护。本文将对老年人群中慢性非传染性疾病患者在COVID-19疫情期间的风险与防护作一综述。

With the increase of economy and the development of society,the average life expectancy of China has increased rapidly for the past few decades.And,for the increasing proportion of elderly population,China has gradually entered an aging society.The highly increased elderly population has brought heavy economic burden and the need of medical care.As most of the elders have chronic non-communicable diseases,like hypertension,diabetes mellitus and chronic obstructive pulmonary disease,et al,which impaired the function of the target organs and need long-term follow-up,seriously affects the quality of life and even threatens their lives.Therefore,the elders,as a vulnerable group,need more protection.Especially during the current global pandemic of COVID-19,on the one hand,the elders are susceptible to new coronaviruses,especially those with chronic diseases are more likely to develop to serious;on the other hand,elderly groups living in social collective pension and nursing institutions have higher requirements for infection diseases prevention and control.Therefore,understanding the current number of elderly people,and the proportion of people combined with chronic non-communicable diseases,will help to protect them from getting infection of COVID-19.This article will review the risks and protection of chronic non-communicable diseases among the elderly population during the COVID-19 epidemic in China.