中国全科医学2017，Vol.20Issue(24)：2989-2994,6.DOI:10.3969/j.issn.1007-9572.2017.07.y01
老年与中青年手术患者疾病谱特点的比较分析
Comparative Analysis of Disease Spectrum Characteristics between the Elderly and the Youth and Middle-aged Surgical Patients
摘要
Abstract
Objective By comparing the characteristics of disease distribution in elderly patients with youth and middle-aged patients,to investigate the population distribution and disease spectrum characteristics of elderly surgical patients,and to provide reference for targeted promotion of medical technology and improvement of the life quality of the elderly.Methods Surgical patients discharged from Tangshan Gongren Hospital and met the inclusive criteria were retrospective selected as study subjects from 2010 to 2014.All subjects were divided into young and middle-aged patients(15-59 years old) and elderly patients(≥60 years old).The patients′ sex,age,date of discharge,principal diagnostic diseases and et al.were collected,and the discharge number of patients was counted each year.Results There were 46 507 surgical cases from 2010 to 2014,including 13 909 elderly cases,and 32 598 young and middle-aged cases.The annual discharge number of elderly cases was on the rise,but it was declining in young and middle-aged cases(P<0.05).The proportion of males in elderly patients was higher than that in young and middle-aged patients(P<0.05).The discharge number of elderly patients decreased with age(P<0.05).The elderly patients were mainly 60-,65-and 70-year-old patients,and the cumulative constituent ratio was 80.88%.The discharge number of young and middle-aged patients increased with age(P<0.05).The proportion of young and middle-aged patients was mainly 35-,40-,45-,50-and 55-59 years old patients,and the cumulative constituent ratio was 76.06%.The statistical analysis showed that WR=0.870 6,further test showed that there was still no consistency of sequence of disease spectrum between the elderly patients and the young and middle-aged patients(x2=19.154,v=11,P>0.05).Tumors(30.02%),urinary tract disease(19.94%) and digestive disease(17.36%) ranked top three in the elderly patients,while in young and middle-aged patients,the top three diseases were tumors(34.80%),urinary tract disease(15.36%),injury,poisoning and other consequences of external causes(15.18%).The disease spectrum of ocular and adnexal diseases in the elderly patients was 6 ranks higher than that of the young and middle-aged patients,while the factors that affect health status and exposure to health care institutions were 5 ranks lower than those of young and middle-aged patients.Conclusion The disease distribution characteristics of different age groups is different.The disease spectrum of ocular and adnexal diseases in the elderly patients is higher than that of the young and middle-aged patients.According to the characteristics of different age groups,tertiary prevention strategy should be targeted to develop in order to improve patients′ quality of life.关键词
老年人/中年人/青年人/手术/疾病谱/顺位Key words
Aged/Middle aged/Young adult/Surgery/Disease spectrum/Rank分类
医药卫生引用本文复制引用
刘茜,白艳辉..老年与中青年手术患者疾病谱特点的比较分析[J].中国全科医学,2017,20(24):2989-2994,6.基金项目
唐山市科学技术研究与发展指导计划(07131617c)——唐山市院前急救疾病谱分析研究 （07131617c）
