- 期刊
老年病之臨床研究1208例住院老年病人之病況分析
Clinical Study of Geriatric Diseases - A Survey of 1208 Hospitalized Patients
摘要
為研究老年病，著者等分析1980-1986年間台大醫院內科大於65歲住院病人1208例，結果顯示內科主要老年病依次為高血、惡性腫瘤、糖連病、冠狀動脈疾病、腦血管障礙、肝炎、心律不整、消化性潰瘍、連路感染、與攝護腺肥大。臨床上每位病人罹患疾病數平均在2.81-3.97之間，隨著年齡而增加。住院死亡率為13.57%。主要死因依次為惡性腫瘤、敗血症、慢性阻塞性肺病、肺炎、與腦血管障礙。藥物不當使用而住院者佔4.06%，主要是藥物過量或不良反應而導致。與1935-1955及1956-1962年代之報告相比，疾病形態有很大變化。尤其動脈粥狀硬化症與惡性腫瘤，已是目前老年病之主要題。而老年人之感染症，仍是重要死因之一，臨床上絕不可掉以輕心。老年人之，應相當謹慎，特別是治療心臟血管、糖連病、以及神經精神疾病之藥物。
並列摘要
In order to elucidate the changing pattern of the geriatric diseases in Taiwan, we analyzed the clinical record of 1208 patients over 65 years old who had been admitted to medical wards of National Taiwan University Hospital (NTUH) from January 1980 to December 1986. The results showed that the ten lead-ing hospitalized diseases were hypertension, malignancy, diabetes mellitus, coronary artery disease, cere-brovascular accident, pneumonia, cardiac arrhythmia, peptic ulcer, urinary tract infection, and benign pros-tate hyperplasia. On an average, the number of diseases a patient sufferd ranged from 2.81 to 3.97, with an increasing trend as age increased. The mortality rate during hospitalization was 13.75%. The main causes of death were malignancy, sepsis. Chronic obstructive pulmonary disease, cerebrovascular accident, and pneu-monia. Iatrogenic illness induced by drug overdosage or adverse reaction tomedication accounted for 4.06% of admission. Thus, atherosclerotic diseases and malignance are the dominating diseases in the geriatricans in Taiwan. However, infectious diseases which still posed a great threat to the lives of the elderly should not be neglected. Moreover, drugs prescribed for the elderly should be closely monitored for side effects, especially those for treatment of cardiovascular diseases, diabetes mellitus, and neuropsychiatric diseases.
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