135例老年血液病的分布及预后分析

Distribution and prognosis of 135 geriatric patients with hematopathy

  • 摘要: 目的 分析老年血液病的分布及预后情况。方法 对135例老年血液病患者进行13年的诊治、随访,分析其发病年龄、生存时间等指标。结果 发病年龄集中在80-89岁,非霍奇金淋巴瘤发病率最高(31.11%),其次为骨髓增生异常综合征(16.30%)。两者的5年生存率分别为52.38%、50%。急性白血病及再生障碍性贫血预后最差,缺铁性贫血、巨幼细胞性贫血经治疗后5年生存率不受影响。结论 老年血液病患者预后差,但早期诊断、早期治疗后仍可延长生存时间。

     

    Abstract: Objective To analyze the distribution and prognosis of geriatric patients with hematopathy. Methods Age at the onset of disease and survival time of 135 patients with hematopathy which was diagnosed and treated during the 13-year follow-up were analyzed. Results Hematopathy occurred at the age of 80-89 years.The incidence of non-Hodgkin lymphoma was the highest(31.11%) followed by myelodysplastic syndrome(16.30%).The 5-year survival rate was 52.38% and 50%,respectively,for the patients with non-Hodgkin lymphoma and those with myelodys-plastic syndrome.The prognosis of patients with acute leukemia and aplastic anemia was the poorest.However,the 5-year survival rate of patients with iron deficiency anemia and megaloblastic anemia was not affected after treatment. Conclusion The prognosis of geriatric patients with hematopathy is poor.Early diagnosis and treatment of the disease can prolong their survival time.

     

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