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目的分析老年病人住院情况,了解老年疾病发生规律,为预防老年疾病及做好老年病人的服务管理提供依据。方法以我院病案统计室2004年出院病案计算机资料库,以病案首页出院诊断为主,并按国际疾病分类ICD-10标准进行统计分类。结果1．60岁以上老年病人4393例,占总出院人数27．50％,以60岁组老年病人最多,占52．12％；2．前五位系统疾病：心血管疾病占29．69％,恶性肿瘤占14．45％,呼吸系统疾病11．38％,消化系统疾病10．47％,泌尿生殖系统疾病7．03％；3．前五位死因构成：循环系统疾病40．10％,恶性肿瘤32．85％,消化系统疾病7．24％,损伤中毒6．28％,呼吸系统疾病4．83％。结论每个年龄组男性病人均明显高于女性病人,循环系统疾病、恶性肿瘤是威胁老年人生命健康的主要杀手,也是老年病人死亡主要原因。
Objective To analyze the hospitalization of elderly patients, understand the regularity of the diseases in the elderly, and provide evidences for the prevention of senile diseases and the service management of geriatric patients. Methods According to the computer database of the medical records of our hospital in 2004, the main medical records were discharged from the hospital and classified according to the International Classification of Diseases (ICD-10). Results 1. 4393 elderly patients over the age of 60, accounting for 27.50% of the total number of discharged patients, 60-year-old group of elderly patients accounted for 52.12%; The top five diseases: cardiovascular diseases accounted for 29.69%, malignant tumors accounted for 14.45%, respiratory diseases 11.38%, 10.47% of digestive diseases, genitourinary diseases 7.03%; The top five causes of death include 40.10% of circulatory diseases, 32.85% of malignant tumors, 7.24% of digestive diseases, 6.28% of injury poisonings and 4.83% of respiratory diseases. Conclusions Male patients in each age group are significantly higher than female patients. Circulatory diseases and malignant tumors are the main killers threatening the life and health of the elderly and the main cause of death in elderly patients.