中国全科医学2017，Vol.20Issue(19)：2373-2377,5.DOI:10.3969/j.issn.1007-9572.2017.19.015
三级医院全科医学科围绝经期女性住院患者的临床特点研究
Clinical Characteristics of Perimenopausal Inpatients in Department of General Practice in a Tertiary Hospital
摘要
Abstract
Objective To discuss the clinical characteristics of perimenopausal inpatients in Department of General Practice in a tertiary hospital.Methods The enrolled participants were 763 perimenopausal women admitted in the First Affiliated Hospital of China Medical University from January 2014 to June 2016,including all the 563 perimenopausal women from Department of General Practice(24.9% of the total 2 265 inpatients in the department during the period),and 200 randomly selected inpatients from Department of Respiratory Medicine,Department of Cardiovascular Medicine,Department of Gastroenterology and Department of Endocrinology with 50 in each.Questionnaire survey combined with reviewing medical records and telephone follow-up were used to collect the clinical data of the articipants,covering age,perimenopausal symptoms,chief complaints,diagnosis,history of chronic disease,and length of stay.Results Of the 563 participants from Department of General Practice,82.6%(465/563) had 1 or more types of perimenopausal syndromes;participants aged 40-50 were more likely to have 1 or more types of perimenopausal syndromes than those aged 51-60(P<0.05);the 5 most common perimenopausal syndrome symptoms were insomnia〔69.6%(392/563)〕,fatigue〔65.5%(369/563)〕,hot flash〔61.5%(346/563)〕,sweating〔57.0%(321/563)〕,and anxiety〔55.2%(311/563)〕;the 5 most common chief complaints were chest pain〔31.1%(175/563)〕,headache〔13.9%(78/563)〕,heart palpitations〔9.9%(56/563)〕,abdominal pain〔8.5%(48/563)〕,and dizziness〔4.3%(24/563)〕;the top 5 diagnosed diseases were hypertension〔32.0%(180/563)〕,dyslipidemia〔25.8%(145/563)〕,arrhythmia〔23.3%(131/563)〕,peripheral rteriosclerosis 〔19.5%(110/563)〕,and diabetes〔14.6%(82/563)〕;92.0%(518/563) had chronic diseases;75.1%(423/563) had multiple chronic conditions;participants in age group of 40-50 had lower incidences of chronic diseases and multiple chronic conditions than those in age group of 51-60(P<0.05);the average length of stay was(9.5±2.4)d;participants in age group of 40-50 had shorter average length of stay than those in age group of 51-60(P<0.05).Compared with those from other departments,participants from Department of General Practice had higher incidence of multiple chronic conditions and longer average length of stay(P<0.05).Conclusion Compared with those from other departments,perimenopausal inpatients are more common seen in Department of General Practice,they are more prone to perimenopausal syndrome,chronic diseases and multiple chronic conditions,so they should be given great attention during treatment.关键词
围绝经期/三级医院/全科医学科/住院病人/临床特点Key words
Perimenopause/Tertiary hospitals/General practice department/Inpatients/Clinical features分类
医药卫生引用本文复制引用
齐殿君,何旖旎,于晓松,王爽..三级医院全科医学科围绝经期女性住院患者的临床特点研究[J].中国全科医学,2017,20(19):2373-2377,5.基金项目
国家自然科学基金资助项目(71273279)--基于全科医生连续性服务的整合式健康管理服务模式的研究 （71273279）
