某三级医院主要非传染性疾病的流行情况

M. Bodiuzzaman
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摘要

背景:非传染性疾病在全球呈上升趋势,占所有新发病和死亡病例的大多数。以前,它在发达国家更为普遍,但现在它在低收入环境中正在增加。早期诊断、治疗和预防措施将降低死亡率、发病率,减轻家庭和社区的经济负担。目的:本研究在某三级医院开展,探讨常见非传染性疾病的发病率以及住院患者中是否存在年龄、性别和居住地的差异。方法:于2019年1月至2019年7月在孟加拉国法里德普尔邦班班杜谢赫穆吉布医学院医院(前法里德普尔医学院医院)三级保健医院进行描述性横断面型观察性研究,为期7个月。患者随机选择在不同的成人医学病房,包括所有性别、种族和居住地。常见的非传染性疾病包括心血管疾病,如高血压(HTN)、缺血性心脏病(IHD)和中风;慢性呼吸系统疾病,如慢性阻塞性肺病和哮喘;糖尿病(DM)和恶性肿瘤。结果:共有1119例患者因不同原因住院;其中诊断为非传染性疾病891例(79.62%)。本组患者中男性多于女性(63.41% vs. 36.59%),常见年龄组为46 ~ 60岁(33%),次年龄组为31 ~ 45岁(26.26%);平均年龄41.51岁。60岁的年轻人比老年人更容易受到影响。农村患者多于城市患者(64.54% vs. 35.46%)。常见的非传染性疾病为中风(25.58%)、高血压(18.40%)、糖尿病(12.0%)、缺血性心脏病(9.20%)、慢性呼吸系统疾病(6.95%)、恶性肿瘤(3.36%)和其他较少见的非传染性疾病(24.47%)。结论:在全球范围内,世界正面临着日益沉重的非传染性疾病负担,面对这一即将到来的形势是一项巨大的挑战。我们应该采取措施,如何通过预防危险因素和早期治疗来降低这些毁灭性疾病的发病率、发病率和死亡率。中华医学杂志2021年1月第10卷第10期[02:80 . 84
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Prevalence of Major Non- Communicable Diseases in a Tertiary Care Hospital
Background: Non-communicable diseases (NCDs) are increasing trend globally and account for the majority of all new cases of morbidity and mortality. Previously, its prevalence was more in developed countries, but now it is increasing in low income settings. Early diagnosis, treatment and preventive measures will reduce the mortality, morbidity, and financial burden on families and community. Objectives: The study was carried out in a tertiary care hospital to explore the incidence of common NCDs and whether there was differentiation in ages, sexes and residences among hospitalized patients. Methods: A descriptive cross sectional type of observational study was done in a tertiary care hospital, Bangabandhu Sheikh Mujib Medical College Hospital (former Faridpur Medical College Hospital), Faridpur, Bangladesh from January 2019 to July 2019 for a period of 7 months. Patients were selected randomly in different adult medicine wards, including all sexes, races, and residences. Common NCDs included were cardiovascular diseases like hypertension (HTN), ischemic heart disease (IHD) and stroke; chronic respiratory diseases like COPD and asthma; diabetes mellitus (DM) and malignancy. Result: A total of 1119 patients were hospitalized for different reasons; among them, 891 patients were diagnosed as NCDs (79.62%). In this study, male patients were more than females (63.41% vs. 36.59%), common age groups between 46 and 60 (33%) and the next age groups between 31 and 45 (26.26%); the mean age was 41.51. Younger people aged 60 years are affected more than the elderly. Rural patients were more than urban (64.54% vs. 35.46%). Common NCDs were stroke (25.58%), hypertension (18.40%), diabetes (12.0%), ischemic heart disease (9.20%), chronic respiratory diseases (6.95%), malignancy (3.36%) and other less common non-communicable diseases (24.47%). Conclusion: Globally, the world is facing a growing burden of NCDs and it is a great challenge to face this upcoming situation. Measure should be taken, that how can we reduce the incidences, morbidity and mortality of those devastating diseases by prevention of their risk factors and early treatment. CBMJ 2021 January: vol. 10 no. 02 P: 80-84
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