摘要
目的通过对铁路社区大专以上学历的老人进行回顾性分析,探讨轻度认知障碍(mild cognitive impairment,MCI)发生、发展的相关危险因素,以期达到早期发现、早期干预、最终阻止和延缓MCI的发生和发展,提高社区老人生活质量,减少照料者负担,为老年医疗保健事业的投入提供依据。方法在社区内筛选符合条件的人群196例老人入组,收集并请专家复核病史及详细的病例资料,由经过培训并考核合格的医务人员完成专业量表的检查。分别对年龄、性别、寡居、有氧锻炼、高血压病史、血脂异常病史、冠心病史等危险因素进行统计学分析。用Logistic回归分析方法研究年龄、冠心病与MCI的关系。结果符合筛选条件的196例老人入组,其中认知功能正常组118人,MCI组78人。两组在年龄(P<0.001)、寡居(P=0.008)、规律散步(P<0.001)、跳毛巾操(P<0.001)以及是否患冠心病(P=0.003)等方面有显著性差异:MCI组年龄较高,寡居率较正常组偏高,规律散步率较正常组低,参加毛巾操锻炼率较正常组低同时冠心病伴随率明显较正常组高;多元Logistic回归分析显示,MCI的发病与年龄正相关,与是否规律散步负相关。结论 MCI的发病与年龄、是否规律散步相关。
Objective To analyze risk factors in the elderly with mild cognitive impairment in railway community.Methods Age,sex,widowhood,aerobic exercise,hypertension,dyslipidemia and coronary heart disease were analyzed.Chi-square test,ANQVA and Wilcoxon were used to compare the difference.P values<0.05 means statistical significance.Results 196 people were enrolled in the study,and 78 people were in MIC group and 118 people were in normal group.The age(P<0.001),widowhood(P=0.008),regular walk(P<0.001),exercise with towel(P<0.001)and the rate of coronary heart disease(P=0.003)were statistical different between the two groups.But only age and regular walk were correlated with MCI.Conclusion Age and regular walk were correlatete with MCI.
作者
曹燕
王效敏
杨朵
邢筱雯
佟明艳
陈星霖
Cao Yan;Wang Xiaomin;Yang Duo(Community Health Center,Beijing Shijitan Hospital of Capital Medical University,Beijing 100038,China)
出处
《中华保健医学杂志》
2018年第1期44-47,共4页
Chinese Journal of Health Care and Medicine
