本文關(guān)鍵詞： 圍絕經(jīng)期 三級醫(yī)院 全科醫(yī)學(xué)科 住院病人 臨床特點　出處：《中國全科醫(yī)學(xué)》2017年19期 　論文類型：期刊論文

【摘要】：目的探討三級醫(yī)院全科醫(yī)學(xué)科圍絕經(jīng)期女性住院患者的臨床特點。方法在2014年1月—2016年6月中國醫(yī)科大學(xué)附屬第一醫(yī)院全科醫(yī)學(xué)科收治的2 265例住院患者中選取圍絕經(jīng)期女性患者563例(24.9%);另采用隨機數(shù)字表法,在本院呼吸科、心內(nèi)科、消化內(nèi)科、內(nèi)分泌科抽取同期住院的圍絕經(jīng)期女性患者各50例。采用問卷調(diào)查、查閱住院病志、電話隨訪相結(jié)合的方法,收集患者的臨床信息,包括年齡、圍絕經(jīng)期綜合征癥狀、主訴癥狀、診斷、慢性病患病情況及住院天數(shù)。結(jié)果 563例全科醫(yī)學(xué)科圍絕經(jīng)期女性住院患者中,465例(82.6%)存在1種及以上圍絕經(jīng)期綜合征癥狀,40~50歲患者存在1種及以上圍絕經(jīng)期綜合征癥狀的發(fā)生率高于51~60歲患者,差異有統(tǒng)計學(xué)意義(P0.05)。發(fā)生率排在前5位的圍絕經(jīng)期綜合征癥狀分別為失眠(69.6%,392/563)、疲勞(65.5%,369/563)、潮熱(61.5%,346/563)、出汗(57.0%,321/563)、焦慮(55.2%,311/563);發(fā)生率排在前5位的主訴癥狀分別為胸痛(31.1%,175/563)、頭痛(13.9%,78/563)、心悸(9.9%,56/563)、腹痛(8.5%,48/563)、眩暈(4.3%,24/563);排在前5位的診斷疾病分別為高血壓(32.0%,180/563)、血脂異常(25.8%,145/563)、心律失常(23.3%,131/563)、周圍動脈硬化(19.5%,110/563)、糖尿病(14.6%,82/563)。共有慢性病患者518例(92.0%),慢性病共病患者423例(75.1%)。40~50歲患者的慢性病發(fā)生率、慢性病共病發(fā)生率低于51~60歲患者,差異有統(tǒng)計學(xué)意義(P0.05)。563例患者的平均住院時間為(9.5±2.4)d,40~50歲患者的平均住院時間短于51~60歲患者,差異有統(tǒng)計學(xué)意義(P0.05)。全科醫(yī)學(xué)科圍絕經(jīng)期女性住院患者的慢性病共病發(fā)生率高于其他科室,平均住院時間長于其他科室,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論圍絕經(jīng)期女性患者在全科醫(yī)學(xué)科住院患者中的占比較高,圍絕經(jīng)期綜合征較為常見,慢性病和慢性病共病發(fā)生率高于其他內(nèi)科病房,在全科醫(yī)療中應(yīng)給予充分重視。
[Abstract]:Objective to investigate the clinical characteristics of peri-menopausal female inpatients in general medicine department of tertiary hospital. Methods from January 2014 to June 2016, 2 265 cases of inpatients admitted in general medicine department of the first affiliated Hospital of China Medical University were selected. There were 563 cases of peri-menopausal female patients with 24. 9 cases. In our hospital, 50 cases of peri-menopausal female patients who were hospitalized in the same period were collected from respiratory department, cardiology department, digestive department and endocrine department. The clinical information of the patients was collected by means of questionnaire, inpatient records and telephone follow-up. Including age, symptoms of perimenopausal syndrome, major symptoms, diagnosis, Results the prevalence of chronic diseases and the duration of hospitalization. Results of the 563 women hospitalized in general practice department of general medicine, 465 (82.6%) had one or more symptoms of perimenopausal syndrome, including one type of peri-menopausal syndrome and one type of peri-menopausal syndrome over 50 years old. The incidence of symptomatic symptoms was higher than that of patients aged 51 to 60. The difference was statistically significant (P 0.05). The symptoms of peri-menopausal syndrome in the top five were insomnia 69.66 / 392563, tiredness 65.555 / 369 / 563a, hot tidal 61.5 / 3646 / 563s, sweating 57.0th / / / 321 / 563s, anxiety 55.2p / r / 55.21 / 563, respectively. The main complaints in the top five were chest pain 31.51 / 1755633, headache 13.993 / 78785633, palpitations 9.956% / 5633 / 5, respectively. The top five diagnoses were hypertension 32.0 / 180 / 563s, dyslipidemia 25.885 / 563m, arrhythmia 23.3i / 563m, peripheral arteriosclerosis 19.510563s, diabetes 14.60.82 / 563.The incidence of chronic diseases was 518 patients with chronic diseases and 423 patients with chronic diseases who were 75.1and 4050 years old. The incidence of chronic syndromes was lower than that of 51to 60 years old patients. The difference was statistically significant (P 0.05). The average hospitalization time of 563 patients was less than that of 51- 60 years old patients. The average hospitalization time of 4050 years old patients with chronic diseases was 9.5 鹵2.4 days old. The incidence of chronic disease in female patients in peri-menopausal period was higher than that in other departments, and the average length of hospitalization was longer than that in other departments. Conclusion the percentage of female patients in general medicine department is higher than that in general medicine department, and the incidence of chronic diseases and chronic diseases is higher than that of other medical wards, and the prevalence of peri-menopausal syndrome is more common than that of other medical wards. Full attention should be paid to general practice.
【作者單位】： 中國醫(yī)科大學(xué)附屬第一醫(yī)院全科醫(yī)學(xué)科;
【基金】：國家自然科學(xué)基金資助項目(71273279)——基于全科醫(yī)生連續(xù)性服務(wù)的整合式健康管理服務(wù)模式的研究
【分類號】：R711.75

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