山西部队老年人不宁腿综合征的流行病学调查

An epidemiologic study of restless leg syndrome among retired military elders in Shanxi Province

目的 探讨老年人不宁腿综合征（RLS）的患病及诊治情况.方法 于2010年12月至2011年7月,以山西省军区接受老年神经系统健康评估调查的离退休干部为研究对象进行横断面调查研究.将被调查对象按年龄段分组,比较各年龄段RLS的患病率及不同严重程度RLS的构成情况,并调查老年RLS患者的诊出率.使用SPSS 13.0统计软件进行统计学分析.结果 参加本次调查研究的3 472名老年人中共有559例罹患RLS,总患病率为16.1％,老年男性RLS的患病率为15.8％;老年男性RLS的患病率随着年龄的增长有明显的增高趋势（P＜0.05）;不同程度RLS在各年龄段的构成差异无统计学意义（P＞0.05）;老年RLS患者的诊出率（3.22％）及治疗率（0％）均很低.结论 我国高龄老人RLS的患病率高于国外报道的老年人RLS的患病率.随着年龄的增长,老年男性RLS的患病率有明显的增高趋势.RLS的严重程度与增龄没有显著的相关关系.目前,我国老年人群中RLS的诊出率及治疗率均很低,亟待加强全社会对其的认识.

Objective To explore the prevalence,diagnosis and treatment of restless leg syndrome （RLS） among military elders.Methods A cross-sectional study was conducted among retired military elders in Shanxi Province from 2010 to 2011.According to age,they were divided into 4 groups to compare the prevalence of RLS and evaluate the severity of symptoms as “mild,moderate and severe”.And the compositions of symptom severity were compared among different age groups.Also the rate of correct diagnosis of RLS was examined.Univariate analyses were conducted with SPSS 13.0.Results There were 559 RLS patients in 3 472 elder subjects.The prevalence of RLS was 16.1% and 15.8% in male elders.The prevalence of RLS in male elders increased significantly with advancing age （P 〈 0.05）.No significant difference existed in the compositions of symptom severity among different age groups of RLS patients （P 〉0.05）.Only 3.22% RLS patients were previously diagnosed and none received a proper therapy.Conclusion The prevalence of RLS among military elders is higher than that of their foreign counterparts.The prevalence of RLS in male elders increases significantly with advancing age.Symptom severity of RLS has no obvious relationship with advancing age.Since the rate of correct diagnosis and therapy is rather low for RLS elders in China,we should pay greater attention to the knowledge of RLS.