摘要
目的分析皮肤科老年住院患者中皮肤病的患病情况及其病种的构成。方法回顾性分析石河子大学第一附属医院皮肤科(以下简称作者所在单位)2019年5月1日至2024年3月31日期间老年住院患者(年龄大于或等于60岁)病例资料,将疾病的分布与年龄在45~59岁的老年前期组进行比较。结果1432例老年住院皮肤病患者占总住院人数的44.05%,男女比例为1.28:1。导致老年人住院最常见的皮肤病是带状疱疹(36.31%),其次是湿疹(23.04%)、银屑病(6.35%)、非特殊性皮炎(5.03%)、特应性皮炎(4.68%)、类天疱疮(3.91%)。和老年前期组相比,在老年患者中发病率明显增加的皮肤病是类天疱疮(8.60倍)、特应性皮炎(1.81倍)、带状疱疹(1.73倍)、湿疹(1.68倍)。另外,上述皮肤病在老年病人及老年前期组(45~59岁)病人间的患病率差异均具有统计学意义(P<0.05)。在老年患者中,湿疹、银屑病、特应性皮炎、类天疱疮好发于男性,而带状疱疹和荨麻疹多见于女性。结论皮肤病在老年人中比较常见,其病种的构成与国内之前的报道部分相近。年龄和性别的不同导致疾病的发病率也不同。
Objective To analyze the prevalence of skin diseases and the composition of the diseases in the elderly inpatients of dermatology.Methods A retrospective statistical analysis of the case data of elderly patients hospitalized(age 60 or older)in the Department of Dermatology of the First Affiliated Hospital of Shihezi University(hereinafter referred to as the author’s unit)from May 1,2019 to March 31,2024 was conducted,and the prevalence and distribution of disease was compared with that of the pre-elderly group aged 45-59 years in the same period.Results There were 1432 elderly dermatological inpatients(≥60 years old),accounting for 44.05%of total dermatological inpatients during the same period,and the ratio of male to female was 1.28:1.The most common diseases causing elderly hospitalization were herpes zoster(36.31%),followed by eczema(23.04%),psoriasis(6.35%),nonspecific dermatitis(5.03%),atopic dermatitis(4.68%),pemphigoid(3.91%).Gerontism patients’incidence of getting bullous pemphigoid,atopic dermatitis,herpes zoster,eczema are 8.60,1.81,1.73 and 1.68 times higher than pre-elderly patients(P<0.05).In addition,there were significant differences in the prevalence rates of above skin diseases between elderly patients and pre-elderly patients.Among them,eczema,psoriasis,atopic dermatitis and pemphigoid were more common in male patients,while herpes zoster and urticaria were more common in female patients.Conclusions Skin diseases are more common in the elderly,and its disease composition is similar that previously reported in China.And there are significant differences in the distribution of skin diseases among different genders and different ages.
作者
张亚丽
曹娟梅
王雪
李君
梁粟
马小丫
贾雪松
ZHANG Yali;CAO Juanmei;WANG Xue;LI Jun;LIANG Su;MA Xiaoya;JIA Xuesong(Department of Dermatology,the first affiliated hospital of Shihezi University,Shihezi,Xinjiang,832008,China)
出处
《新疆医学》
2024年第7期762-765,785,共5页
Xinjiang Medical Journal
基金
新疆建设兵团指导性项目(项目编号:2023ZD023)
石河子大学第一附属医院青年基金项目(项目编号:QN202129)
关键词
皮肤病
老年人
住院
构成比
Skin disease
Gerontism
Inpatient
Component Ratio
