查詢結果分析
來源資料
頁籤選單縮合
題名 | 門診非自願性體重減輕病患之回溯性分析=A Retrospective Study of Involuntary Body Weight Loss in Outpatient Clinic |
---|---|
作者 | 黎家銘; 林幸玟; 林世瑜; 李龍騰; 梁繼權; | 書刊名 | 中華民國家庭醫學雜誌 |
卷期 | 8:2 1998.06[民87.06] |
頁次 | 頁56-63 |
分類號 | 415.208 |
關鍵詞 | 非自願性體重減輕; Involuntary weight loss; |
語文 | 中文(Chinese) |
中文摘要 | 非自願性的體重減輕,往往是病疾的警訊,為了解臺灣地區非自願性體重減輕門 診病患之相關資料, 本研究蒐集 1996 年間臺大醫院門診 18 歲以上,以 6 個月內體重減 輕 5% 以上為主要診斷之患者,藉病歷回顧及電話追�j法收集資料。 共蒐集 254 名患者為 研究對象, 女性 115 位( 45.3% ), 男性 139 位( 54.7% ), 平均年齡 52.39 ± 17.75 歲。最後診斷為生理疾病患者共 107 位( 47.1% ),以糖尿病、胃腸道疾病與癌症 占前三名。 心理疾病患者有 30 位( 11.8% ),原因不明者有 117 位( 46.1% )。生理 疾病患者平均減輕體重較多( p<0.01 ),平均年齡較長( p <0.01 )。 平均 22 個月的 追�j期間內,死亡率為 4.7%,死亡患者全為男性。 由於絕大多數有疾病之患者,皆可以藉 初步檢查找到病因,在詳細的疾史詢問、理學檢查與基本的實驗室檢查後,對一時查不出病 因的患者,以定期追�j方式處置即可,無需開立廣泛或侵襲性的檢查。 |
英文摘要 | Patients with involuntary weight loss have an increase in morbidity and mortality. A retrospective study was done among 254 adult patients with documented weight loss of more than 5% of their baseline body weight in the out patient clinic at NTUH from January to December in 1996. From the information obtained by chart review, we identified 107 patients (42.1%) whose weight loss could be explained by major physical illnesses. The most common causes were diabetes mellitus, gastrointestinal tract disease and malignancy. Weight loss in 30 patients (11.8%) were due to psychiatric illnesses. The other 117 cases (46.1%) had no identifiable physical or psychiatric cause. After an average of 22 months of follow-up, the mortality rate of the study group was 4.7% and all the deaths were male. Most patients with underlying physical or psychiatric disease were identified after initial assessment. For those who did not have an identifiable cause after the initial assessment, only two patients were found to have an physical or psychiatric diagnosis during a 22 month follow-up period. We recommend a watchful observation rather than extensive examinations for whose who have no obvious etiology for their weight loss in the initial studies. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。