期刊文献+

老年帕金森病病人多次跌倒的临床特点及危险因素分析 被引量:8

Analysis of clinical features and risk factors of recurrent falls in elderly patients with Parkinson′s disease
下载PDF
导出
摘要 [目的]比较老年帕金森病病人1次跌倒和多次跌倒的临床特征,并探讨多次跌倒的影响因素。[方法]将随访期6个月内未发生跌倒的120例帕金森病病人作为随访对象,进行1年随访。随访期后,采用巢式病例对照研究分析1次跌倒和多次跌倒病人的资料。[结果]通过1年随访,42例(35.0%)病人发生跌倒,其中19例(45.2%)发生1次跌倒,23例(54.8%)发生多次跌倒。1次跌倒多发生在室内,多次跌倒多发生在室外(P=0.017)。滑倒和冻结步态在1次跌倒中较常见(P=0.035和P=0.024);多次跌倒中以下肢无力多见(P=0.023)。帕金森病跌倒病人中最常见的损伤是挫伤。既往6个月内无跌倒发生的老年帕金森病病人多次跌倒的危险因素是较差的运动性能(OR=1.06,95%CI为1.01~1.11,P=0.022)。[结论]平时活动性能较差的老年帕金森病病人更容易发生多次跌倒,但该结论还需要更大样本的研究进行进一步验证。 Objective:To compare the clinical features of single fall and recurrent falls in elderly patients with Parkinson′s disease,and to explore the influencing factors of recurrent falls.Methods:A total of120patients with Parkinson′s disease who did not fall within6months of follow up were followed up for1year.After the follow up period,the data of patients with single fall and recurrent falls were analyzed using a nested case control study.Results:42patients(35.0%)experienced falls,of which19(45.2%)had single fall and23(54.8%)had recurrent falls.Single fall often occurred indoors and recurrent falls occurred outdoors(P=0.017).Slipping and freezing gait were more common in single fall(P=0.035and P=0.024).Weakness of the lower limbs was more common in recurrent falls(P=0.023).The most common injury in Parkinson′s falls was contusion.The risk factors of recurrent falls in elderly Parkinson′s patients who had not fallen in the previous6months were poor motor performance(OR=1.06,95%CI1.01~1.11,P=0.022).Conclusions:Elderly patients with Parkinson′s disease with poor activity of daily living were more prone to recurrent falls,but this conclusion needs to be further verified with a larger sample of studies.
作者 陈娇燕 刘凯 陈英 李秋敏 林桂香 韩坤元 仝珊 周晓莉 Chen Jiaoyan;Liu Kai;Chen Ying(Hainan General Hospital,Hainan 570311 China)
机构地区 海南省人民医院
出处 《护理研究》 北大核心 2018年第24期3861-3865,共5页 Chinese Nursing Research
基金 2017年海南省卫生计生行业科研项目 编号:16A200043
关键词 帕金森病 跌倒 损伤 影响因素 随访 日常活动能力 滑倒 冻结步态 Parkinson′s disease fall injury influencing factors follow up activity of daily living slip freezing gait
  • 相关文献

参考文献2

  • 1中华医学会神经病学分会神经康复学组,中国微循环学会神经变性病专业委员会康复学组,中国康复医学会帕金森病与运动障碍康复专业委员会,宋鲁平(执笔),王强(执笔),张通(参与人员),李延峰(参与人员),王鲁宁(参与人员),陈海波(参与人员),邵明(参与人员),宋鲁平(参与人员),王强(参与人员),肖卫忠(参与人员),邢岩(参与人员),公维军(参与人员),方伯言(参与人员),于洋(参与人员),陈.帕金森病康复中国专家共识[J].中国康复理论与实践,2018,24(7):745-752. 被引量:121
  • 2中国帕金森病治疗指南(第三版)[J].中华神经科杂志,2014,47(6):428-433. 被引量:519

二级参考文献12

共引文献627

同被引文献92

引证文献8

二级引证文献39

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部