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80岁以上老年精神障碍住院患者躯体疾病共病调查
孙丛丛潘伟刚刘毅田璐鲍枫毛佩贤任艳萍马辛
0
()
摘要:
目的 了解80 岁以上老年精神病住院患者的躯体疾病共病情况。方法 筛查首都医科 大学附属北京安定医院2010 年1 月1 日至2017 年12 月30 日的住院患者,符合ICD-10 的精神障碍诊断, 年龄> 80 岁且资料完整者,调查该人群的合并躯体疾病情况等资料。结果 187 例患者中183 例合并 躯体疾病,共病率97.9%,平均共病数目为6.9 种。不同精神障碍患者的共患躯体疾病数目上差异无统 计学意义(P> 0.05);平均共病种数方面,脑损害和功能紊乱及其他躯体疾病所致精神障碍、心境障碍明 显低于其他4 种精神疾病,差异有统计学意义(P < 0.05);183 例老年精神科患者共患躯体疾病例数 达1 297 例种,其中神经系统、循环系统、内分泌系统、呼吸系统及消化系统共769 例种,占59.29%,前 5 位疾病分别为高血压115 例(62.8%)、便秘84 例(45.9%)、脑梗死71 例(38.8%)、糖尿病54 例(29.5%)、冠 心病48 例(26.2%)。患者的躯体疾病共病种数与年龄相关(P< 0.01)。结论 80 岁以上老年精神障碍住 院患者的躯体共病现象非常普遍;且合并疾病种类较多,以心脑血管及代谢类疾病居多。
关键词:  老年  精神障碍  躯体疾病  共病
DOI:10.3969/j.issn.1009-6574.2019.06.008
基金项目:北京市科技重大专项(D17110700700000);北京市保健局科研项目(京16- 号)
Investigation on the comorbidity of physical illness in hospitalized elderly patients over 80 yearsold with mental disorders
Sun Congcong, Pan Weigang, Liu Yi, Tian Lu, Bao Feng, Mao Peixian, Ren Yanping, Ma Xin
()
Abstract:
Objective To understand the comorbid conditions of physical illness in hospitalized elderly patients over 80 years old with mental disorders. Methods The study screened inpatients from Beijing Anding Hospital affiliated to Capital Medical University from January 1, 2010 to December 30, 2017. Patients with diagnosis based on ICD-10, age of > 80 years old, and complete clinical files were selected. The comorbid conditions of physical illness and other information in the selected patients were investigated. Results Among the 187 patients, 183 patients had physical illness, with a comorbid rate of 97.9% and an average of 6.9 comorbidities. There was no significant difference in the number of comorbid physical diseases among patients with different mental disorders( P > 0.05). In terms of the average number of comorbidities, mental disorders and mood disorders caused by brain damage and dysfunction, and other physical diseases had significantly fewer comorbidities than other four types of mental disorders( P<0.05). A total of 183 elderly psychiatric patients had a total of 1 297 cases of physical illness. There are 769 cases of diseases in the nervous system, circulatory system, endocrine system, respiratory system and digestive system, accounting for 59.29% of all cases of physical illness. The top five diseases were hypertension( 115 cases, 62.8%), constipation (84 cases, 45.9%), cerebral infarction( 71 cases, 38.8%), diabetes( 54 cases, 29.5%), and coronary heart disease( 48 cases, 26.2%). The number of comorbidities of physical illness in patients is related to age( P<0.01)Conclusions The physical comorbidity of elderly patients over 80 years old with mental disorders is very common. The number of comorbidities is large, with cardiovascular and metabolic diseases accounting for the majority.
Key words:  Aged  Mental disorders  Physical illness  Comorbidity

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