摘要
分析衰弱指数与老年患者血压水平的相关性及其与不良健康事件的相关性。收集本院2013年1月至2017年1月期间诊治的老干所老年体检患者的临床资料,其中衰弱组患者70例,衰弱前期组患者66例,非衰弱组患者80例,分析各组研究对象衰弱指数与老年患者血压水平的相关性。结果显示:与非衰弱组和衰弱前期组比较,衰弱组患者24 h平均收缩压、昼间平均收缩压和夜间平均收缩压均明显降低(P<0.05),而各组间24 h平均舒张压、昼间平均舒张压和夜间平均舒张压均无明显变化(P>0.05);衰弱组患者不良健康事件心脏病、高血压、慢性肾病、脑卒中、恶性肿瘤、关节炎及慢性阻塞性肺病的发生率明显高于其他两组患者(P<0.05);衰弱指数与收缩压有明显的负相关性(P<0.05),与患者不良健康事件有密切的正相关性(P<0.05),而与舒张压及糖尿病和消化道溃疡无相关性(P>0.05)。因此,衰弱指数与老年患者收缩压水平呈明显负相关,且与不良健康事件有明显的相关性。
The purpose of this study was to analyze the correlation between weakness Index and blood pressure levels in elderly patients and the correlation between weakness index and adverse health events. It collected analyze the clinical data of elderly inpatients diagnosed and treated in our hospital from January 2013 to January 2017. Among the 216 patients, 70 were in the weak group, 66 in the pre-weak group and 80 in the non-weak group. The correlation between asthenia index and blood pressure level in elderly patients was analyzed. The results showed that Compared with the non-weakening group and the pre-weakening group, the 24-hour mean systolic blood pressure, the diurnal mean systolic blood pressure and the nighttime mean systolic blood pressure in the weakening group were significantly lower, and the difference was statistically significant (P<0. 05), while the 24-day mean diastolic blood pressure, the diurnal mean diastolic blood pressure and the nighttime mean diastolic blood pressure were not significantly different among the groups (P<0. 05) The incidence of adverse health events such as heart disease, hypertension, chronic kidney disease, stroke, malignant tumor, arthritis and chronic obstructive pulmonary disease was significantly higher in the weak group than in the control group (P<0. 05), and the weak index was negatively correlated with systolic blood pressure (P<0. 05). There was a close positive correlation between health events (P<0. 05), but no correlation between diastolic blood pressure, diabetes mellitus and peptic ulcer (P >0. 05). So Weakness index was negatively correlated with systolic blood pressure in elderly patients. Weakness index was negatively correlated with adverse health events.
作者
方德刚
朱新林
刘霞
杨柳
张晶晶
陈丽荣
FANG Degang;ZHU Xinlin;LIU Xia;YANG Liu;ZHANG Jingjing;CHEN Lirong(Department of the Outpatient,the First 63 Hospital of PLA,Changsha 410003,Hunan,China;Department of Internal Medicine-Cardiovascular, the First 63 Hospital of PLA,Changsha 410003,Hunan,China)
出处
《中南医学科学杂志》
CAS
2019年第1期52-54,74,共4页
Medical Science Journal of Central South China
基金
2017年湖南省教育厅科学研究项目(17C0970)
关键词
衰弱指数
血压
相关性
不良健康事件
asthenia index
blood pressure
correlation
adverse health events