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《Chinese Journal of Public Health Engineering》 2017-01
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Disease constitute analysis and exploration of inpatients in geriatrics department at plateau

ZHAO Gui-hua;YU Yan;Department of Medicine,Xi'an Jiao Tong University;  
Objective To understand the disease constitute,characteristics and prevalence of old patients in Qinghai plateau,analyze its cause and provide the epidemical data for clinic working,prevention and health care,and health resource reasonable allocation,contribute quality control of disease and improve supervising quality. Methods According to international classification of diseases( ICD-10) and encoding of the Beijing version of the clinical classification of diseases,the diseases were classified. The main diagnosis of discharge from hospital was diagnostic basis with status survey method. Results The male patients were more than female patients at geriatrics department( 1. 4: 1); the patients above 70 years old was about 63. 68%; The main diseases category were circulatory system,respiratory system,digestive system,endocrine system and urinary system; The top ten diseases were obstructive emphysema,hypertension,cardiac failure,respiratory infection,coronary heart disease,pulmonary heart disease,bronchitis,biliary tract disease,diabetes and arrhythmia; The average mean of diseases gained for per patients was 5. 29 ± 1. 562,the patients above 70 years old could gain 5or above 5 diseases with a ratio of 69. 29%,and the average hospital stay was( 11. 99 ± 4. 294) d. Conclusion With the interruption of high altitude anoxia,cold and arid,the prevalence rate of cardiovascular disease and respiratory disease in old people are high,it should be strengthened health education and prevention propaganda among these senile chronic diseases at plateau,and complete the prevention of senile chronic diseases; the construction of geriatrics department and correct diagnosis and standard treatment level could be improved,meanwhile,the physical and psychological health of old people might be increased.
【CateGory Index】: R197.3;R592
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