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本文对我院近两年来收治住院的老年人5162例进行疾病及死亡原因分析,其中男性3255例,女1907例,平均年龄66.4±3.5岁。结果表明:消化系统、呼吸系统、循环系统疾病最多。常见的疾病依次为胆囊炎与胆石症、慢性支气管炎与慢性阻塞性肺气肿、脑血管病、冠心病等。本组恶性肿瘤病人占20.9％,其分布顺序为原发性肺癌、结肠与直肠癌、胃癌、喉癌等。老年住院病人死亡率明显高于同期成年组(P<0.01),并随增龄而增加。死亡病因前三位为恶性肿瘤、脑血管病、慢性支气管炎与慢性阻塞性肺气肿。而恶性肿瘤病人中又以原发性肺癌为主要死因。定期开展老年人健康检查、早期发现、早期治疗是降低老年人患病率及死亡率之重要措施。
In this paper, 5162 elderly patients admitted to our hospital for the past two years were analyzed for the causes of illness and death, including 3255 males and 1907 females, with an average age of 66.4 ± 3.5 years. The results show that: the digestive system, respiratory system, circulatory system diseases most. Common diseases followed by cholecystitis and cholelithiasis, chronic bronchitis and chronic obstructive pulmonary emphysema, cerebrovascular disease, coronary heart disease. The group accounted for 20.9% of patients with malignant tumors, the distribution of primary lung cancer, colon and rectal cancer, stomach cancer, laryngeal cancer and so on. The mortality rate of elderly inpatients was significantly higher than that of the same period adult group (P <0.01), and increased with age. The first three causes of death were malignant tumors, cerebrovascular disease, chronic bronchitis and chronic obstructive pulmonary emphysema. And malignant tumor patients in primary lung cancer again as the main cause of death. Regularly carry out the health examination of the elderly, early detection, early treatment is an important measure to reduce the prevalence and mortality in the elderly.