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目的了解老年冠心病患者合并疾病的特点,探索老年冠心病患者住院时长与合并疾病的关系。方法选取2005-05/2015-09在四川省人民医院住院60岁以上的老年冠心病患者4 398例进行回顾性分析,采用Wilcoxon和Kruskal-Wallis分析合并疾病类型对住院时间影响。结果 4 398例患者中,以合并1种和2种疾病的患者居多,分别占53.05%和17.85%,其中合并2种疾病的老年冠心病病例组住院时间最长(22.50±16.83天),P<0.05。合并内分泌系统疾病、神经系统疾病和泌尿系统疾病的老年冠心病患者住院时间较未合并组长(P<0.05);合并消化系统疾病的老年冠心病患者住院时间较未合并组短(P<0.05)。结论对因冠心病入院治疗的老年患者,需进行全面综合评估,根据不同的合并疾病,制定个性化的治疗方案,逐步形成老年冠心病患者治疗方案评分体系,从而提高患者的依从性,改善冠心病预后。
Objective To understand the characteristics of elderly patients with coronary heart disease and to explore the relationship between the length of hospitalization and the comorbidity of elderly patients with coronary heart disease. Methods A retrospective analysis was performed on 4 398 elderly coronary heart disease patients aged 60 years or older in Sichuan Provincial People’s Hospital from May 2005 to September 2015. Wilcoxon and Kruskal-Wallis analyzes the influence of the type of disease on the length of stay. Results Among 4 398 patients, 53.05% and 17.85% were patients with one and two diseases, respectively. Among them, the elderly patients with coronary heart disease combined with two diseases had the longest hospital stay (22.50 ± 16.83 days), P <0.05. The hospitalization time of elderly patients with coronary heart disease complicated by endocrine system diseases, nervous system diseases and urinary system diseases was shorter than that of the non-combined group (P <0.05). The hospitalization time of elderly patients with coronary heart disease with digestive system diseases was shorter than that of the non-combined group ). Conclusion Elderly patients admitted to hospital for coronary heart disease need to conduct a comprehensive and comprehensive assessment, develop personalized treatment plans according to different combined diseases, and gradually form the treatment scheme scoring system for elderly patients with coronary heart disease so as to improve patient compliance and improve the coronary arteries Heart disease prognosis.