中华老年多器官疾病杂志
中華老年多器官疾病雜誌
중화노년다기관질병잡지
CHINESE JOURNAL OF MULTIPLE ORGAN DISEASES IN THE ELDERLY
2014年
6期
450-453
,共4页
肖丹%赵坤%蔡双兵%袁侨英%司良毅
肖丹%趙坤%蔡雙兵%袁僑英%司良毅
초단%조곤%채쌍병%원교영%사량의
死亡%疾病分布%冠状动脉疾病%C-反应蛋白质%脂类
死亡%疾病分佈%冠狀動脈疾病%C-反應蛋白質%脂類
사망%질병분포%관상동맥질병%C-반응단백질%지류
death%distribution of disease%coronary artery disease%C-reactive protein%lipids
目的：探讨老年死亡患者一般情况和疾病分布，分析血清超敏C-反应蛋白（hs-CRP）、血脂在死因第一诊断为冠心病（CHD）的死亡患者中的变化规律。方法收集整理老年科住院死亡病例97份进行统计分析，并对死因第一诊断为CHD和非CHD患者的hs-CRP、血脂进行回顾对比分析。结果分析提示总病死率0.89%，男性病死率1.12%，女性病死率0.69%，前者高于后者（P＜0.05）；前5位死亡疾病是：急性心肌梗死、慢性充血性心脏病、肺部感染、心源性猝死、多个心脏瓣膜病；CHD死亡患者的总胆固醇（TC）含量高于非CHD死亡患者（P＜0.05），hs-CRP、甘油三酯（TG）、高密度脂蛋白胆固醇（HDL-C）、低密度脂蛋白胆固醇（LDL-C）水平差异无统计学意义（P＞0.05）。结论 CHD是老年科患者死亡的最主要原因，CHD老年死亡患者的胆固醇较非CHD死亡患者高。
目的：探討老年死亡患者一般情況和疾病分佈，分析血清超敏C-反應蛋白（hs-CRP）、血脂在死因第一診斷為冠心病（CHD）的死亡患者中的變化規律。方法收集整理老年科住院死亡病例97份進行統計分析，併對死因第一診斷為CHD和非CHD患者的hs-CRP、血脂進行迴顧對比分析。結果分析提示總病死率0.89%，男性病死率1.12%，女性病死率0.69%，前者高于後者（P＜0.05）；前5位死亡疾病是：急性心肌梗死、慢性充血性心髒病、肺部感染、心源性猝死、多箇心髒瓣膜病；CHD死亡患者的總膽固醇（TC）含量高于非CHD死亡患者（P＜0.05），hs-CRP、甘油三酯（TG）、高密度脂蛋白膽固醇（HDL-C）、低密度脂蛋白膽固醇（LDL-C）水平差異無統計學意義（P＞0.05）。結論 CHD是老年科患者死亡的最主要原因，CHD老年死亡患者的膽固醇較非CHD死亡患者高。
목적：탐토노년사망환자일반정황화질병분포，분석혈청초민C-반응단백（hs-CRP）、혈지재사인제일진단위관심병（CHD）적사망환자중적변화규률。방법수집정리노년과주원사망병례97빈진행통계분석，병대사인제일진단위CHD화비CHD환자적hs-CRP、혈지진행회고대비분석。결과분석제시총병사솔0.89%，남성병사솔1.12%，녀성병사솔0.69%，전자고우후자（P＜0.05）；전5위사망질병시：급성심기경사、만성충혈성심장병、폐부감염、심원성졸사、다개심장판막병；CHD사망환자적총담고순（TC）함량고우비CHD사망환자（P＜0.05），hs-CRP、감유삼지（TG）、고밀도지단백담고순（HDL-C）、저밀도지단백담고순（LDL-C）수평차이무통계학의의（P＞0.05）。결론 CHD시노년과환자사망적최주요원인，CHD노년사망환자적담고순교비CHD사망환자고。
Objective To investigate the general condition and distribution of diseases in the death of the elderly patients, and analyze the change profile of serum high-sensitivity C-reactive protein(hs-CRP) and blood lipids in the patients died of coronary heart disease (CHD). Methods Clinical data of 97 died patients hospitalized in our department from 2009 to 2012 were collected and retrospectively analyzed. The patients were divided into 2 groups according to their causes of death being CHD or not. Their serum levels of hs-CRP and lipids were analyzed. Results The total mortality in our department at that period was 0.89%, with 1.12% for males, significantly higher than that for the females (0.69%, P<0.05). The top 5 diseases of death cause were acute myocardial infarction, chronic congestion heart disease, pulmonary infection, sudden cardiac death and multiple valvular heart diseases. The serum level of total cholesterol (TC) was significantly higher in CHD-caused death group than in non-CHD one (P<0.05). But there was no significant difference in the levels of hs-CRP, triglycerides (TG), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C) between the 2 groups (P>0.05). Conclusion CHD is the major cause of death in the elderly people. TC level is obviously higher in the elderly died patients with CHD than those without the disease.
