| 云南省2017年～2019年老年患者疾病谱分析 |
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| 引用本文： | 张媛,李宏,崔文龙,唐松源,刘颖婷. 云南省2017年～2019年老年患者疾病谱分析[J]. 昆明医科大学学报, 2022, 43(5): 65-70. DOI: 10.12259/j.issn.2095-610X.S20220520 |
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| 作者姓名： | 张媛 李宏 崔文龙 唐松源 刘颖婷 |
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| 作者单位： | 昆明医科大学公共卫生学院,云南昆明 650500;德钦县人民医院,云南迪庆藏族自治州 674500 |
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| 基金项目： | Building a Management System for Elderly Health Services in Yunnan Province（54067-001） |
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| 摘 要： | 目的 描述与分析云南省60岁以上老年患者疾病谱及变化。 方法 通过国家卫生统计信息网络直报系统,对2017年1月至2019年12月全省政府办医院出院老年患者的病案首页信息进行系统的整理、分析,按照国际疾病分类（ICD-10）系统进行分类统计。 结果 2017～2019年平均出院4375 768人次,其中60岁及以上老年人平均每年1330 437人次,占比为30.40%。循环系统、呼吸系统、消化系统、肌肉骨骼系统和结缔组织以及泌尿生殖系统位居疾病系统前5位,占到全部疾病的66.30%;脑血管病、慢性下呼吸道疾病、胆石病和胆囊炎、椎间盘疾病和肾衰竭分别位列上述系统疾病的首位;慢性下呼吸道疾病、缺血性心脏病、脑梗死、高血压、恶性肿瘤是老年人住院主要疾病;肺结核居于传染病首位; 结论 慢性非传染性疾病已经成为危害云南省老年人健康的主要原因,这将对云南省本身薄弱的老年人健康管理系统提出挑战。
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| 关 键 词： | 云南省 老年人 出院病人 疾病谱 |
| 收稿时间： | 2022-01-08 |
Disease Spectrum Analysis of Elderly Patients in Yunnan Province from 2017 to 2019 |
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| Affiliation: | 1.School of Public Health,Kunming Medical University,Kunming Yunnan 6505002.Deqin County People’s Hospital,Diqing Tibetan Autonomous Prefecture Yunnan 674500,China |
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| Abstract: | Objective To describe and analyze the spectrum of diseases and changes of elderly patients over 60 years old in Yunnan Province. Methods Through the National Health Statistics Information Network Direct Reporting System, the home page of electronic medical records of discharged elderly patients from the public hospitals in Yunnan province from January 2017 to December 2019 was systematically sorted and analyzed according to the International Classification of Diseases 10 （ICD-10） system perform classification statistics. Results From 2017 to 2019, the average number of hospital discharges were 4375768, of which the average number of elderly people aged 60 and over were 1330437 per year, accounting for 30.40%. Diseases of circulatory system, respiratory system, digestive system, musculoskeletal system and connective tissue, and genitourinary system ranked among the top 5 diseases, accounting for 66.30% of all diseases. Cerebrovascular diseases, chronic lower respiratory diseases, gallstones and cholecystitis, intervertebral disc disease and renal failure ranked first among the above-mentioned systemic diseases respectively. Chronic lower respiratory diseases, ischemic heart disease, cerebral infarction, hypertension and malignant tumors were the main diseases of the elderly in hospital; Tuberculosis ranked first among infectious diseases. Conclusion Chronic non-communicable diseases have become the main cause of endangering the health of the elderly in Yunnan Province and this will pose a challenge to the weak health management system for the elderly in Yunnan. |
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