某三甲医院老年风湿病患者患病情况调查

Investigation of rheumatic diseases in elderly patients in a top tertiary hospital

摘要:

目的 调查分析某三甲医院风湿科老年住院患者风湿病分布情况。方法 选取首都医科大学宣武医院风湿科住院患者2360例,将所有患者按照年龄不同分为2组。<60岁为中青年组(1293例),≥60岁为老年组(1067例),记录患者性别、年龄、出院诊断以及合并症情况。采用SPSS 21.0软件进行数据分析,用四格表χ²检验分析不同疾病组之间的差异。结果 在系统性红斑狼疮、类风湿关节炎中老年男性患者的比例较中青年组高；在痛风中老年女性患病的比率较中青年组高；在皮肌炎及重度骨关节炎中老年组男女患病比例与中青年组相反；在大动脉炎及系统性硬化症中无老年男性病例。结论 老年人患风湿病与中青年不同,不同性别患病分布情况有其自身特点。在临床工作中,应注意老年风湿病患者的患病分布情况,有助于临床的诊断及治疗。

Abstract:

Objective To investigate and analyze the distribution of rheumatic diseases among the elderly patients in the rheumatology department in a tertiary hospital. Methods A total of 2360 inpatients in the Department of Rheumatology and Allergy of Xuanwu Hospital of Capital Medical University were selected for the study, who were divided into the young and middle-aged group (<60 years, n=1293) and the elderly group (≥60 years, n=1067). Data were recorded about their gender, age, discharge diagnosis, admission time, discharge time, and complications. SPSS statistics 21.0 was used for data analysis, and the difference between groups was analyzed with the four-fold table χ² test. Results The proportion of males with systemic lupus erythematosus and rheumatoid arthritis in the elderly group was higher than that in the young and middle-aged groups. The proportion of females with gout in the elderly group was higher than that in the young and middle-aged groups. The proportion of the males and females with dermatomyositis and severe osteoarthritis in the elderly population was opposite to that in the young and middle-aged group. There was no elderly male patients with arteritis and systemic sclerosis. Conclusion The distribution of rheumatism in the elderly is different from that in the young and middle-aged, and the distribution of rheumatism in different genders has its own characteristics. In the clinical practice, attention should be paid to the distribution of rheumatism in the elderly, which is helpful for a better understanding of the characteristics of rheumatism in the elderly.