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目的探讨2006年以发热待查收住院老年患者的流行病学病因。方法病例选自2006年1月1日-2006年12月31日期间,以发热待查收住干部科病房的患者。将入选病例分为老年组(年龄≥65岁)和对照组(年龄<65岁)。统计学处理应用SPSS软件,回顾性分析并比较不同年龄患者的发热病因、住院天数和医疗费用。结果老年组中存在感染危险因素的比例为86.9%(73/84),明显高于对照组29.4%(10/34)。老年组中最常见的危险因素依次为脑梗塞26.0%(19/73)、糖尿病19.2%(14/73)、冠心病19.2(14/73)、恶性肿瘤9.6%(7/73)和充血性心力衰竭8.2%(6/73)。结论感染性疾病是发热待查的主要病因,呼吸道感染以肺部感染多见。胆道和泌尿系感染、肿瘤性疾病及结核病仍是发热的常见病种,特别是老年人。并且老年病人多存在感染的危险因素或基础病。加强对老年人感染性疾病的防治力度,是降低平均住院日,提高临床疗效性价比的重要措施之一。
Objective To investigate the epidemiological etiology of elderly patients admitted to hospital in 2006 with fever. Methods Patients were selected from January 1, 2006 -2006 on December 31, to check the fever admitted to the wards of patients with cadres. The selected cases were divided into the elderly group (age ≥ 65 years) and the control group (age <65 years). Statistical analysis SPSS software was used to retrospectively analyze and compare the causes of fever, hospitalization days and medical expenses in patients of different ages. Results The proportion of risk factors for infection in the elderly group was 86.9% (73/84), significantly higher than that in the control group (29.4%, 10/34). The most common risk factors in the elderly group were cerebral infarction 26.0% (19/73), diabetes 19.2% (14/73), coronary heart disease 19.2 (14/73), malignant tumor 9.6% (7/73) and congestive Heart failure was 8.2% (6/73). Conclusion Infectious disease is the main cause of fever to be investigated, respiratory infection is more common in lung infection. Biliary tract and urinary tract infections, neoplastic diseases and tuberculosis are still common diseases of fever, especially in the elderly. And there are many elderly patients with risk factors for infection or underlying disease. Strengthen the prevention and treatment of infectious diseases in the elderly, is one of the important measures to reduce the average length of stay, improve clinical cost-effectiveness ratio.