| Objective: Investigating the spectrum of disease of the elders hospitalised in one t ertiary hospital in xinjiang autonomous region to provide basic information for age-related studies and to guide the distribution of medical health resourses.Method: The advance-aged(aged?80 years)inpatients' s records in the First Affiliat ed Hospital of Xinjiang Medical University from January 1,2010 to December 31,2015 were collected,including sex,age,nation,in/out time of hospital,top 10 diagnose s,from january 1,2010 to december 31,2015.Dividing these patients into three grou p according to their age(80-84,85-89,?90).Recording hospitalization man-time,numbe r of diseases,nation of top 4 hospitalization man-time,diseases of top 10 constituent ratio to analyse the change tendency of hospitalization man-time,the relationship b etween number of diseases and age and gender,the difference of disease of top 10 constituent ratio between age,gender,and nations.et al.Results: The sample include 16606 inpatients aged 80-114 year old,average age(83.35±3.31),sex ratio(male:female=2.17:1).The study indicated that the advance-aged h ospitalization man-time increased year by year,concentrating mainly on inpatients a ged from 80-84 which made 75.15% of the total hospitalization man-time during s ix years.The average number of diseases per person was(4.08±2.15).There was no statistic significance between the number of diseases and gender(P<0.05).The com position ratio of ?90 years old inpatients suffering from 7-10 and 4-6 diseases wa s significantly higher than that of 80-84 and 85-89 years old inpatients(22.76% v s 13.28%,15.88%,P<0.05);(43.42% vs 43.38%,39.87%,P<0.05).The top 4 nationalitie s were the Han,Uygur,Hui and Kazakh.The top 10 diseases was hypertension,coronary atherosclerotic heart disease(CHD),arrhythmia,chronic obstructive pulmonary dis ease(COPD),diabetes,cerebral infarction successively,malignant tumor,pulmonary infec tion,chronic cholecystitis,chronic bronchitis.The constituent ratio of hypertension wa s more than 50%.The constituent ratio of CHD was more than 30%.The constitue nt ratio of arrhythmia,chronic obstructive pulmonary disease and diabetes was more than 20%.The constituent ratio of cerebral infarction successively,malignant tumor,pulmonary infection,chronic cholecystitis and chronic bronchitis was more than 10%.In the past six years,the sequence of hypertension was in the first place.With the increase of the year,the constituent ratio of the disease was increased(P<0.05).The sequence of CHD was in the second placen in the each year,the constitutio n of CHD was not different in each year(P>0.05).The sequence of arrhythmia wa s shifted up,the constituent ratio of arrhythmia was not different in each year(P>0.05).The sequence of COPD shifted down.There was a decline in the constituent r atio of COPD(P<0.05).In male advance-aged inpatients,the constituent ratio of CH D,arrhythmia,COPD,diabetes,cerebral infarction,malignant tumor,lung infection,chronic bronchitis were all higher than female(P<0.05).In female advance-aged inpatients,t he constituent ratio of hypertension was higher than male(P<0.05).There was no di ference in the constituent ratio of chronic cholecystitis between the male and fema le(P>0.05).With the increase of age,the constituent ratio of hypertension,diabetes an d malignant tumor was gradually decreasedt(P<0.05),but the constituent ratio of C OPD and pulmonary infection was gradually increased(P<0.05).There was statistic significant of the disease constituent ratio among hypertension,CHD,COPD,cerebral infarction,chronic cholecystitis and chronic bronchitis in the four nationalities.Hype rtension,which occupied the primary position among the four nationalities.The const ituent ratio of hypertension in Kazakh people was higher than that of the Hui,Han and Uygur nationalities(P<0.05).CHD,which occupied the second position among t he four nationalities.The constituent ratio of CHD in the Han nationality was high er than of the other three nationalities(P<0.05).There was no statistic significant of the disease constituent ratio among arrhythmia,diabetes,,malignant tumor,lung infec tion the four nationalities(P>0.05).Conclusion: The number of advance-aged hospitalization man-time is increasing ye ar by year.The advance-aged inpatients may suffer from seveal diseases,more than89.21% of them suffer from ?2 diseases.The first three single diseases that threate n the health of advance-aged inpatients are all circulation diseases.Hypertension is the first disease that threaten the health of advance-aged inpatients.There is a signi ficant difference of the disease constituent ratio among hypertension,CHD,cerebral i nfarction,chronic cholecystitis and chronic bronchitis,among the Han,Uygur,Hui a nd Kazakh people. |
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