广东省某三甲医院老年人疾病谱及性别差异

doi:10.3969/j.issn.1000-8535.2016.01.010

广州医药 ›› 2016, Vol. 47 ›› Issue (1): 29-32.DOI: 10.3969/j.issn.1000-8535.2016.01.010

广东省某三甲医院老年人疾病谱及性别差异

郭海燕¹, 檀谊洪², 梅婷¹, 黄小琼³

1 南方医科大学附属南海医院呼吸内科(南海 528200)
2 南方医科大学附属南海医院科教科(南海 528200)
3 南方医科大学附属南海医院病案管理科(南海 528200)

收稿日期:2015-09-26 出版日期:2016-01-20 发布日期:2021-11-30
通讯作者: 郭海燕,E-mail: 467942089@qq.com
基金资助:
佛山市卫生和计生局医学科研基金(2015021)

Alteration of disease distribution and gender-differences in hospitalized elderly from a large comprehensive hospital of Guangdong province

Guo Haiyan, Mei Ting, Tan Yihong, Huang Xiaoqiong

Guo Haiyan, Mei Ting. Department of Pulmonology Nanhai Hospital attached to Southern Medical University, Foshan 528200, China
Tan Yihong. Department of Science and Education, Nanhai Hospital attached to Southern Medical University, Foshan 528200, China
Huang Xiaoqiong. Department of Medical record management, Nanhai Hospital attached to Southern Medical University, Foshan 528200, China

Received:2015-09-26 Online:2016-01-20 Published:2021-11-30

摘要/Abstract

摘要： 目的了解广东省某区级三甲综合医院住院老年人慢性非传染性疾病(慢非病)疾病谱及性别差异随年度推移的变化。方法回顾性分析南方医科大学附属南海医院2006—2014年老年人出院资料。结果住院老年人疾病谱中名列前位的疾病除了肺炎、急性胃肠道疾病,余为慢非病。慢非病比例逐年下降(65.8%~57.8%, P<0.01),疾病谱明显变化:脑血管疾病由第一位占21.3%降至17.0%居第二,恶性肿瘤从10.4%升至18.8%居第一。性别有差异:男性慢阻肺和恶性肿瘤的构成比多于女性;慢非病比非慢非病、男性比女性慢非病的人均住院总费用高(P<0.05)。结论总结9年来南海区三甲综合医院住院诊治的慢非病居高及攀升病种、性别差异,制定措施优化医疗资源配置、减轻社会经济负担。

关键词: 慢性非传染性疾病, 疾病谱, 性别差异, 住院, 老年人

Abstract: Objective To analyze the alteration of disease distribution and gender-differences of chronic non-communicable diseases (NCD) in hospitalized elderly from a large Comprehensive Hospital of Guangdong province. Methods Retrospective observational study including profile of discharged elderly in Nanhai hospital attached to Southern medical university from the year 2006 to 2014. Results In the top rank of diseases in hospitalized elderly, all were NCDs other than pneumonia and acute gastrointestinal diseases. The proportion of NCD accounted for all hospitalized elderly was reduced year by year, changed from 65.8% to 57.8%, P<0.01. Disease distribution of NCD altered obviously, showing that cerebrovascular disease (CVD) decreased from the first 21.3% to the second 17.0%, malignancy increased from 10.4% to 18.8% ranking as the first. Gender-differences did exist. Greater constituent ratio of chronic obstructive pulmonary disease (COPD) and malignancy were found in men than women yearly. NCD showed higher hospitalized expenses than non-NCD per capita, that of men were higher than women (P<0.05). Conclusion Summarizing the top and increasing rank of NCD and gender-differences in hospitalized elderly in a large comprehensive hospital, Nanhai district, Foshan city of 9 years, policy and program could be guided to optimize the distribution of medical resources and try to reduce the output of social economic burden.

Key words: Chronic non-communicable diseases, Disease distribution, Gender-differences, Hospitalized, Elderly

郭海燕, 檀谊洪, 梅婷, 黄小琼. 广东省某三甲医院老年人疾病谱及性别差异[J]. 广州医药, 2016, 47(1): 29-32.

Guo Haiyan, Mei Ting, Tan Yihong, Huang Xiaoqiong. Alteration of disease distribution and gender-differences in hospitalized elderly from a large comprehensive hospital of Guangdong province[J]. Guangzhou Medical Journal, 2016, 47(1): 29-32.

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广东省某三甲医院老年人疾病谱及性别差异

Alteration of disease distribution and gender-differences in hospitalized elderly from a large comprehensive hospital of Guangdong province

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