摘要
目的分析常州市社区老年人主观听力减退与认知功能的相关性。方法本研究为回顾性队列研究,选取2023年8—10月在常州市4个社区招募的1132名老年人为研究对象,收集其社会人口学和认知功能资料,使用简易精神状态检查(MMSE)量表评估认知功能,使用蒙特利尔认知评估(MoCA)量表中的连线测试、复制立方体和绘钟测试评估视空间与执行功能。根据老年人自我报告是否存在听力减退将研究对象分为听力正常组(726名)和听力减退组(406名),分析两组基本资料及不同认知域的差异,采用logistics单因素和多因素回归分析社区老年人主观听力减退与认知功能的相关性。结果听力减退组认知障碍发生率显著高于听力正常组(20.2%比6.6%),地点定向力、记忆力、注意力及计算力、回忆能力、语言能力、绘钟测试评分以及MMSE、视空间与执行功能总分均显著低于听力正常组[(4.76±0.78)比(4.91±0.45)分、(2.79±0.59)比(2.90±0.36)分、4(3,5)比5(4,5)分、2(1,3)比2(2,3)分、8(7,9)比9(8,9)分、2(2,3)比3(2,3)分、27(24,29)比27(26,29)分、3(2,3)比3(2,4)分](均P<0.05)。社区老年人主观听力减退与认知功能下降呈正相关(OR=3.544,95%CI:2.410~5.213)(P<0.001)。结论主观听力减退的社区老年人认知功能下降发生率更高,听力减退是认知功能下降的正相关因素。
Objective To investigate the correlation between subjective hearing impairment and cognitive function in the elderly in the community of Changzhou City.Methods This study was a retrospective cohort study.A total of 1132 elderly people recruited from 4 communities in Changzhou City from August to October in 2023 were selected as the research objects.The social demographic and cognitive function were collected,cognitive function was assessed using the mini-mental state examination(MMSE),while the connected test,replica cube,and clock draw in the Montreal cognitive assessment(MoCA)were selected to assess visuospatial and executive function.The subjects were divided into the no-hearing impairment group(726 subjects)and hearing impairment group(406 subjects)according to the self-reported hearing impairment of the elderly.The basic data of the two groups and the differences in different cognitive domains were analyzed,and the correlation between subjective hearing impairment and cognitive function of the elderly in the community was analyzed by univariate and multivariate logistic regression analysis.Results The incidence of cognitive impairment in the hearing impairment group was significantly higher than that in the no-hearing impairment group(20.2%vs 6.6%),the scores of location orientation,memory,attention and calculation,recall,language ability,clock draw,and the total score of MMSE,visuospatial and executive function in the hearing impairment group were all significantly lower than those in the normal hearing group[(4.76±0.78)vs(4.91±0.45)points,(2.79±0.59)vs(2.90±0.36)points,4(3,5)vs 5(4,5)points,2(1,3)vs 2(2,3)points,8(7,9)vs 9(8,9)points,2(2,3)vs 3(2,3)points,27(24,29)vs 27(26,29)points,3(2,3)vs 3(2,4)points](all P<0.05).There was a positive correlation between subjective hearing impairment and cognitive function impairment in community-dwelling elderly(OR=3.544,95%CI:2.410-5.213)(P<0.001).Conclusion The incidence of cognitive impairment is higher in the community-dwelling elderly with subjective hearing i
作者
崔雪莲
张一
张丹
谢凡
刘裕
刘永成
Cui Xuelian;Zhang Yi;Zhang Dan;Xie Fan;Liu Yu;Liu Yongcheng(Department of Rehabilitation Medicine,Changzhou First People′s Hospital,Changzhou 213003,China)
出处
《中华健康管理学杂志》
CAS
CSCD
北大核心
2024年第9期674-679,共6页
Chinese Journal of Health Management
关键词
老年人
听力
听力减退
认知
社区
Elderly
Hearing
Hearing impairment
Cognition
Community
