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成年唐氏综合征患者在一年时间内对医疗服务的利用情况。

Utilisation of health services over a one-year period by an adult population with Down syndrome.

作者信息

Goldstein H

机构信息

Department of Obstetrics and Gynecology Y, Rigshospitalet/University Hospital, University of Copenhagen, Denmark.

出版信息

Dan Med Bull. 1988 Feb;35(1):100-4.

PMID:2963731
Abstract

The utilisation of health services over a one-year period by an adult population of 38 probands with Down Syndrome (DS) (23 males 60.5% and 15 females 39.5%) in the Danish County of Aarhus (CA) was surveyed. All patients were born between 1 January 1934 and 31 December 1943, mean age 45.7 years. Prevalence: 0.056% on day of census: 31 December 1984. Several additional diseases and handicaps were found, including four patients with seizures, three with endocrine dysfunctions, three with eye diseases and three with hearing disorders. This is in accordance with other papers, revealing such disorders among DS-probands. On the average, each patient sees his or her regular doctor six times a year. Various specialists are seen in private practice and out-patient clinics. The use of bed-days by the 38 probands is significantly higher than the non-DS-patients of the county, also with special conditions taken into consideration. Twenty-four patients (63%) received dental care during 1984. Patients living in an institution with its own dental clinic do not see a dentist more often than patients getting their dental care from dentists in private practice. It is concluded that the present study states minimum figures and that adults with DS utilise health services more frequently than the background population. This is due to the findings of many additional diseases and handicaps among this aging group.

摘要

对丹麦奥胡斯郡(CA)38名患有唐氏综合征(DS)的成年先证者(23名男性,占60.5%;15名女性,占39.5%)在一年期间的医疗服务利用情况进行了调查。所有患者均出生于1934年1月1日至1943年12月31日之间,平均年龄45.7岁。患病率:在普查日(1984年12月31日)为0.056%。还发现了几种其他疾病和残疾,包括4名癫痫患者、3名内分泌功能障碍患者、3名眼部疾病患者和3名听力障碍患者。这与其他论文一致,这些论文揭示了DS先证者中存在此类疾病。平均而言,每位患者每年看其普通医生6次。在私人诊所和门诊会看各种专科医生。38名先证者的住院天数明显高于该郡的非DS患者,即使考虑到特殊情况也是如此。24名患者(63%)在1984年接受了牙科护理。住在有自己牙科诊所的机构中的患者看牙医的频率并不比从私人诊所牙医处接受牙科护理的患者更高。得出的结论是,本研究给出的是最低数字,并且患有DS的成年人比普通人群更频繁地利用医疗服务。这是由于在这个老龄化群体中发现了许多其他疾病和残疾。

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