1094位老年皮肤病住院病人的临床分析

发布时间：2018-05-21 09:27

本文选题：皮肤病 + 老年　；参考：《重庆医科大学》2014年硕士论文

【摘要】：目的：研究调查重庆医科大学附属第一医院皮肤性病科2011年1月至2013年4月间老年住院病人的患病情况及其病种的构成比例。方法：对重庆医科大学附属第一医院在2011年1月至2013年4月间在皮肤性病科住院的老年病人（年龄大于或等于60岁）进行回顾性统计分析，并将其患病情况及病种的分布情况与中年病人（年龄大于或等于45岁，并小于60岁）进行比较。病种分类按照赵辩主编《临床皮肤病学》的诊断标准。所有数据结果均使用SPSS19.0统计学软件分析，统计学方法为配对卡方检验，当P值＜0.05时，视差异为有统计学意义。结果：重庆医科大学附属第一医院皮肤性病科近3年老年住院病人1094例，，占住院总人数的39.85%，男女比例为1.42：1。促使老年患者住院最常见的疾病为带状疱疹（21.39%），其次为湿疹（10.69%），非特殊性皮炎（8.32%），银屑病（5.03%），接触性皮炎（4.11%）。其中慢性光化性皮炎、红皮病、嗜酸性粒细胞增多症、银屑病等多见于男性，而女性中以皮肌炎、鳞状细胞癌、过敏性紫癜、荨麻疹较多见。与中年患者比较，老年患者发病率明显升高的有大疱性类天疱疮（8.4倍），瘙痒症（5.0倍），慢性光化性皮炎（5.0倍），带状疱疹（1.5倍）。有15.17%的病人合并有两种皮肤病，其中最多的为变态反应性疾病（3.11%），其次为真菌感染（2.92%）等。有59.94%病人合并有1种或几种其他基础疾病或慢性病，最常见的为高血压（24.59%），其次为糖尿病（12.98%），除开高血压的其他心血管疾病（4.39%），呼吸道疾病（3.30%）。结论：皮肤病在老年患者中并不少见，因年龄性别的不同，导致各种疾病的发生率也有所不同，其构成比及相关研究结果与国内其他报道部分接近。
[Abstract]:Objective: to investigate the prevalence of senile inpatients in the Department of Dermatology and venereal Diseases of the first affiliated Hospital of Chongqing Medical University from January 2011 to April 2013. Methods: the elderly patients (age > 60 years old) hospitalized in the Department of Dermatology and venereal Diseases in the first affiliated Hospital of Chongqing Medical University from January 2011 to April 2013 were analyzed retrospectively. The prevalence and distribution of the disease were compared with the middle-aged patients (age > 45 years, and less than 60 years old). The classification of diseases was based on the diagnostic criteria of Zhao Ji's chief editor, Clinical Dermatology. All the data were analyzed by SPSS19.0 software. The statistical method was paired chi-square test. When P < 0. 05, the difference was statistically significant. Results: there were 1094 senile inpatients in the Department of Dermatology and venereal Diseases of the first affiliated Hospital of Chongqing Medical University in the past three years, accounting for 39.85% of the total number of inpatients. The ratio of male to female was 1.42: 1. The most common inpatients were herpes zoster 21.39, eczema 10.69, non-specific dermatitis 8.3232, psoriasis 5.03, contact dermatitis 4.11. Among them, chronic actinic dermatitis, erythroderma, eosinophilia and psoriasis were more common in men, while in women, dermatomyositis, squamous cell carcinoma, allergic purpura and urticaria were more common. Compared with the middle age patients, the incidence of the elderly patients was 8.4 times of bullous pemphigoid, 5.0 times of pruritus, 5.0 times of chronic actinic dermatitis and 1.5 times of herpes zoster. There were two kinds of skin diseases in 15.17% of the patients, the most of which were hypersensitive diseases (3.11%), followed by fungal infections (2.92%) and so on. 59.94% of the patients had one or more other basic diseases or chronic diseases, the most common were hypertension 24.5990%, diabetes 12.98%, other cardiovascular diseases other than hypertension 4.39%, respiratory diseases 3.30%. Conclusion: dermatosis is not uncommon in elderly patients. Because of the difference of age and sex, the incidence of various diseases is also different, and its composition ratio and related research results are similar to other reports in China.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R751.05

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