社区散居老人中有慢性心脑血管疾病史者二年的转归

Two-year Outcomes in Elderly People with Cardiocerebrovascular Disease Living Scattered in Community

利用“北京老化多维纵向研究”课题资料，分析１９９２年调查中有慢性心脑血管病史者两年中死亡、日常生活活动能力及智力的变化。结果显示与无卒中者比较，有脑血管病史者１９９２～１９９４年间死亡率高；存活者中原来日常生活活动有依赖者或智能有减退者的康复率低，障碍加重率高。单纯的高血压或冠心病史者，二年中的死亡率并不高于无慢性病史者。冠心病史５年以上者二年来依赖新发生率高，但有依赖者的恢复率与无慢性病史者相近。冠心病和高血压史对智能障碍的影响不明显。分析结果提示，慢性脑血管病史是造成老年人死亡和残疾的重要原因。

In this paper data collected from “Beijing Multidimensional Longitudinal Studying on Aging”was analyzed.The outcome in 1992～1994 of elder with history of stroke,hypertension,or coronary heart disease was studied.It was found that compared with other groups,the patients with history of brain stroke had a higher death rate during 1992～1994;the recovery rate of survivors which had disability in activities of daily life or intelligence was lower.The death rate of people with history of simple hypertension or coronary heart disease was not higher than that of people without history of these disease.The history of hypertension and coronary heart disease had no significant effect on intellectual handicap.The results indicated that cerebrovascular disease history was the main cause of death and handicap of elderly people,but pure cardiovascular disease had a smaller influence on them.