实用老年医学 ›› 2021, Vol. 35 ›› Issue (10): 1045-1048.doi: 10.3969/j.issn.1003-9198.2021.10.012

• 临床研究 • 上一篇    下一篇

1598例老年皮肤病住院病人临床资料分析

樊娇娇, 曹艳, 张安平   

  1. 230032 安徽省合肥市,安徽医科大学第一附属医院皮肤性病科
  • 收稿日期:2020-11-27 出版日期:2021-10-20 发布日期:2021-10-13
  • 通讯作者: 张安平,Email:zapamu@163.com

Clinical characteristics of 1598 elderly inpatients with dermatosis

FAN Jiao-jiao, CAO Yan, ZHANG An-ping   

  1. Department of Dermatology, the First Affiliated Hospital of Anhui Medical University, Hefei 230032, China
  • Received:2020-11-27 Online:2021-10-20 Published:2021-10-13

摘要: 目的 调查老年皮肤病住院病人的患病状况及病种构成。 方法 对安徽医科大学第一附属医院皮肤性病科2017~2019年住院病人的临床资料进行回顾性分析。 结果 老年皮肤病住院病人(≥60岁)共1598例,占同期皮肤性病科总住院人数的29.34%,男女比例为1.41∶1。老年住院病人皮肤病病种共分18类48种,其中病例数位列前3位的病种依次为:变态反应性皮肤病473例(29.60%)、病毒性皮肤病448例(28.04%)及自身免疫性大疱病228例(14.27%)。60~69岁住院病人以变态反应性皮肤病为主,其次为病毒感染性皮肤病;70~79岁和80~89岁住院病人均以病毒感染性皮肤病为主,其次为变态反应性皮肤病;90岁及以上住院病人则以自身免疫性大疱病为主,其次为变态反应性皮肤病。分层分析显示,导致老年皮肤病病人住院位列前6位的皮肤病依次为带状疱疹(28.04%)、湿疹(12.70%)、药疹(9.64%)、大疱类天疱疮(9.51%)、银屑病(7.38%)及荨麻疹(4.46%),其中湿疹和银屑病多见于男性病人,而带状疱疹、药疹和荨麻疹则多发于女性病人。另外,上述皮肤病在老年病人及老年前期(45~59岁)病人间的患病率差异均具有统计学意义(P<0.05)。 结论 老年皮肤病住院病人约占同期皮肤病住院病人总数近1/3,不同性别和不同年龄段之间的皮肤病病种类型分布存在差异。

关键词: 老年人, 皮肤病, 住院, 患病率

Abstract: Objective To investigate the prevalence and proportion of geriatric dermatoses of dermatology department. Methods The clinical data of inpatients in the Department of Dermatology of the First Affiliated Hospital of Anhui Medical University from 2017 to 2019 was retrospectively analyzed. Results There were 1598 elderly dermatological inpatients (≥60 years old), accounting for 29.34% of the total dermatological inpatients during the same period, and the ratio of male to female was 1.41∶1. The skin diseases of the elderly inpatients were divided into 18 categories and 48 kinds, among which the top 3 diseases were allergic skin diseases (n=473, 29.60%), viral skin diseases (n=448, 28.04%) and immune bullous diseases (n=228, 14.27%). The inpatients aged 60-69 years old mainly suffered from allergic skin diseases, followed by viral skin diseases; The inpatients aged 70-79 and 80-89 years old mainly suffered from viral skin diseases, followed by allergic skin diseases; The inpatients aged 90 years and over mainly suffered from autoimmune bullous disease, followed by allergic skin disease. Hierarchical analysis showed that the top six skin diseases leading to hospitalization in the elderly were herpes zoster (28.04%), eczema (12.70%), drug eruption (9.64%), bullous pemphigoid (9.51%), psoriasis (7.38%) and urticaria (4.46%). Among them, eczema and psoriasis were more common in male patients, while herpes zoster, drug eruption and urticaria were more common in female patients. In addition, there were significant differences in the prevalence rates of above skin diseases between elderly patients and pre-aged patients (45-59 years old). Conclusions Elderly dermatological inpatients account for nearly 1/3 of the total number of dermatological inpatients during the same period, and there are significant differences in the distribution of skin diseases among different genders and different ages.

Key words: aged, dermatosis, inpatients, prevalence rate

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