CAJ | 학술논문

目的研究住院老年冠心病患者的多药性和多病性.方法 2008-2012年621例住院的老年冠心病患者,依据我院的电子病历记录按年龄被分为成人(18 ～64岁)冠心病组和老年(≥65岁)冠心病组.以冠心病作为第一诊断患者为统计对象,药物计算为出院前1d使用的药物数量,病种数以出院诊断为统计依据;同时使用5种或5种以上药物为多药性.结果成人冠心病组平均使用药物为(5.2±3.4)种,老年冠心病组使用为(11.2±7.2)种,老年冠心病组平均使用药物数比成人冠心病组平均使用药物数高(t =2.508,P＜0.01).老年冠心病组病种数为(5.1±3.1)种,比成人冠心病组病种数[(8.2±4.8)种]高(t=2.400,P＜0.01).结论冠心病患者普遍存在多药性和多病性,老年患者更突出,需要进一步优化治疗.
목적 연구주원노년관심병환자적다약성화다병성.방법 2008-2012년621례주원적노년관심병환자,의거아원적전자병력기록안년령피분위성인(18 ～64세)관심병조화노년(≥65세)관심병조.이관심병작위제일진단환자위통계대상,약물계산위출원전1d사용적약물수량,병충수이출원진단위통계의거;동시사용5충혹5충이상약물위다약성.결과 성인관심병조평균사용약물위(5.2±3.4)충,노년관심병조사용위(11.2±7.2)충,노년관심병조평균사용약물수비성인관심병조평균사용약물수고(t =2.508,P＜0.01).노년관심병조병충수위(5.1±3.1)충,비성인관심병조병충수[(8.2±4.8)충]고(t=2.400,P＜0.01).결론 관심병환자보편존재다약성화다병성,노년환자경돌출,수요진일보우화치료.
Objective To investigate the prevalence of multidrug and multiple diseases in coronary heart disease in the hospitalized elderly patient.Methods Six hundred and twenty-two hospitalized coronary heart disease patients during 2008-2012 year were assigned to adult coronary heart disease group and they were divided into adults(18-64 years old) and elderly(≥65 years old) groups.Number of drugs was counted and number of diseases was counted based on diagnosis.Multidrug was defined as the kinds of concurrent drug use was over 5.Results The average kinds of drugs used in adult coronary heart disease group was (5.2 ± 3.4).The average kinds of drugs used in elderly coronary heart disease group was (11.2 ± 7.2).The average kinds of drugs in elderly coronary heart disease was higher than that of adult coronary heart disease (t =2.508,P ＜ 0.01).The average types of diseases in elderly coronary heart disease was higher than that of adult groups ((5.1 ±3.1) vs.(8.2 ±4.8),t =2.400,P ＜0.01).Conclusion Multidrug and multiple diseases are prevalent in the hospitalized coronary heart disease patient,and they are more prominent in elderly coronary heart disease patients.It is needed to further optimize the treatment.