三级医院全科医学科围绝经期女性住院患者的临床特点研究

发布时间：2018-02-13 20:08

本文关键词： 围绝经期三级医院全科医学科住院病人临床特点　出处：《中国全科医学》2017年19期 　论文类型：期刊论文

【摘要】：目的探讨三级医院全科医学科围绝经期女性住院患者的临床特点。方法在2014年1月—2016年6月中国医科大学附属第一医院全科医学科收治的2 265例住院患者中选取围绝经期女性患者563例(24.9%);另采用随机数字表法,在本院呼吸科、心内科、消化内科、内分泌科抽取同期住院的围绝经期女性患者各50例。采用问卷调查、查阅住院病志、电话随访相结合的方法,收集患者的临床信息,包括年龄、围绝经期综合征症状、主诉症状、诊断、慢性病患病情况及住院天数。结果 563例全科医学科围绝经期女性住院患者中,465例(82.6%)存在1种及以上围绝经期综合征症状,40~50岁患者存在1种及以上围绝经期综合征症状的发生率高于51~60岁患者,差异有统计学意义(P0.05)。发生率排在前5位的围绝经期综合征症状分别为失眠(69.6%,392/563)、疲劳(65.5%,369/563)、潮热(61.5%,346/563)、出汗(57.0%,321/563)、焦虑(55.2%,311/563);发生率排在前5位的主诉症状分别为胸痛(31.1%,175/563)、头痛(13.9%,78/563)、心悸(9.9%,56/563)、腹痛(8.5%,48/563)、眩晕(4.3%,24/563);排在前5位的诊断疾病分别为高血压(32.0%,180/563)、血脂异常(25.8%,145/563)、心律失常(23.3%,131/563)、周围动脉硬化(19.5%,110/563)、糖尿病(14.6%,82/563)。共有慢性病患者518例(92.0%),慢性病共病患者423例(75.1%)。40~50岁患者的慢性病发生率、慢性病共病发生率低于51~60岁患者,差异有统计学意义(P0.05)。563例患者的平均住院时间为(9.5±2.4)d,40~50岁患者的平均住院时间短于51~60岁患者,差异有统计学意义(P0.05)。全科医学科围绝经期女性住院患者的慢性病共病发生率高于其他科室,平均住院时间长于其他科室,差异有统计学意义(P0.05)。结论围绝经期女性患者在全科医学科住院患者中的占比较高,围绝经期综合征较为常见,慢性病和慢性病共病发生率高于其他内科病房,在全科医疗中应给予充分重视。
[Abstract]:Objective to investigate the clinical characteristics of peri-menopausal female inpatients in general medicine department of tertiary hospital. Methods from January 2014 to June 2016, 2 265 cases of inpatients admitted in general medicine department of the first affiliated Hospital of China Medical University were selected. There were 563 cases of peri-menopausal female patients with 24. 9 cases. In our hospital, 50 cases of peri-menopausal female patients who were hospitalized in the same period were collected from respiratory department, cardiology department, digestive department and endocrine department. The clinical information of the patients was collected by means of questionnaire, inpatient records and telephone follow-up. Including age, symptoms of perimenopausal syndrome, major symptoms, diagnosis, Results the prevalence of chronic diseases and the duration of hospitalization. Results of the 563 women hospitalized in general practice department of general medicine, 465 (82.6%) had one or more symptoms of perimenopausal syndrome, including one type of peri-menopausal syndrome and one type of peri-menopausal syndrome over 50 years old. The incidence of symptomatic symptoms was higher than that of patients aged 51 to 60. The difference was statistically significant (P 0.05). The symptoms of peri-menopausal syndrome in the top five were insomnia 69.66 / 392563, tiredness 65.555 / 369 / 563a, hot tidal 61.5 / 3646 / 563s, sweating 57.0th / / / 321 / 563s, anxiety 55.2p / r / 55.21 / 563, respectively. The main complaints in the top five were chest pain 31.51 / 1755633, headache 13.993 / 78785633, palpitations 9.956% / 5633 / 5, respectively. The top five diagnoses were hypertension 32.0 / 180 / 563s, dyslipidemia 25.885 / 563m, arrhythmia 23.3i / 563m, peripheral arteriosclerosis 19.510563s, diabetes 14.60.82 / 563.The incidence of chronic diseases was 518 patients with chronic diseases and 423 patients with chronic diseases who were 75.1and 4050 years old. The incidence of chronic syndromes was lower than that of 51to 60 years old patients. The difference was statistically significant (P 0.05). The average hospitalization time of 563 patients was less than that of 51- 60 years old patients. The average hospitalization time of 4050 years old patients with chronic diseases was 9.5 卤2.4 days old. The incidence of chronic disease in female patients in peri-menopausal period was higher than that in other departments, and the average length of hospitalization was longer than that in other departments. Conclusion the percentage of female patients in general medicine department is higher than that in general medicine department, and the incidence of chronic diseases and chronic diseases is higher than that of other medical wards, and the prevalence of peri-menopausal syndrome is more common than that of other medical wards. Full attention should be paid to general practice.
【作者单位】：中国医科大学附属第一医院全科医学科;
【基金】：国家自然科学基金资助项目(71273279)——基于全科医生连续性服务的整合式健康管理服务模式的研究
【分类号】：R711.75

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