陈玉菲　杨　萍李　宇

辽宁省金秋医院综合老年医学科一病房，辽宁沈阳110016

40例80岁以上高龄老人贫血临床特点分析

陈玉菲杨萍▲李宇

辽宁省金秋医院综合老年医学科一病房，辽宁沈阳110016

目的本研究拟收集沈阳市社区80岁以上高龄贫血老人资料，分析其临床特点，旨在提高临床医师对高龄老年贫血的重视程度，并提高该人群贫血的诊治水平。方法收集2013年10月1日～2016年5月30日期间入组“沈阳市社区老年人贫血现状的多因素分析”课题的80岁以上高龄贫血患者40例，采用调查问卷的形式对患者的一般情况进行调查，并采血化验，对高龄老人合并疾病情况、贫血程度：贫血形态学及病因学分类进行统计分析。结果高龄老人最常合并的疾病是冠心病；贫血严重程度：轻度最常见为34例，占85.0%；形态学及病因学分布情况：小细胞贫血最常见为16例，占40.0%，缺铁性贫血最多见为13例，占32.5%。结论沈阳市社区80岁以上高龄老人贫血临床特点同既往文献报道相近似，应给予积极治疗，以提高生活质量。

高龄老人；贫血；缺铁性贫血；临床特点

［Abstract］Objective To collect the data of elderly patients with anemia aged over 80 in Shenyang city，analyze the clinical features，and to improve the attention of clinicians to the elderly，and to improve the level of diagnosis and treatment of anemia in the population.Methods The multi factor analysis of the status of anemia in the elderly in community of Shenyang city during the period from October 1st 2013 to May 30th 2016 and 40 cases of anemia in the elderly over the age of 80 years were selected.In the form of the questionnaire，the general situation of the patients were investigated，and blood samples were collected for statistical analysis.The elderly patients with disease conditions，the degree of anemia，anemia morphology and etiology classification were analyzed.Results The disease status:the most common disease was coronary heart disease.Severity of anemia:Mild was the most common in 34 cases，accounting for 85.0%.Morphology and distribution of the disease were obtained.Small cell anemia was the most common in 16 cases，accounting for 40.0%.From the perspective of etiology classification iron deficiency anemia was up to 13 cases accounted for 32.5%.Conclusion The clinical characteristics of anemia in the elderly over 80 years old in the community of Shenyang city is similar to the previous literatures，and should be treated actively，so as to improve the quality of life.

［Key words］Elderly；Anemia；Iron deficiency anemia；Clinical characteristics

随着我国人口老龄化时代的到来，老年人口所占比例逐渐增加，其中高龄老人绝对数量已经达到2300万。高龄老年群体因常合并多种慢性疾病，故贫血患病率非常高。美国第三次国际健康与营养调查（NHANESIII）发现85岁以上人群贫血患病率为23%，我国2002年居民营养与健康状况调查数据显示城乡60岁以上老年人贫血的患病率为29.1%［1-3］。故本研究拟收集80岁以上高龄贫血老人资料，旨在提高临床医师对高龄老年贫血的重视程度，以便对该人群贫血的诊治进一步指导。……