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Coping review of dementia fear studies among middle-aged and elderly people in the community
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作者 Hui Ren Gui-Meng Wang +3 位作者 Wen-Jing Yu Meng-Yuan Teng Jing-Mei Li Xiang-Shu Cui 《Nursing Communications》 2024年第22期1-9,共9页
This study used Arksey and O’Malley’s scoping review methodology as a framework and searched the following databases:PubMed,Embase,EBSCO,CINAHL,Web of Science,Cochrane Library,Scopus,CNKI,Wanfang,VIP,and the Chinese... This study used Arksey and O’Malley’s scoping review methodology as a framework and searched the following databases:PubMed,Embase,EBSCO,CINAHL,Web of Science,Cochrane Library,Scopus,CNKI,Wanfang,VIP,and the Chinese Biomedical Literature Database.The database is open to December 20,2023,and documents related to the fear of dementia among the elderly in the community are described and analyzed to provide a reference for future research in this field.At the same time,we screened,extracted,and summarized relevant information from 21 included documents(16 in English and 5 in Chinese),which consisted of 16 cross-sectional studies,2 quasi-experimental studies,2 randomized controlled studies,and 1 longitudinal study.Sixteen of the included documents mentioned the incidence or level of dementia fear among the elderly in the community,2 addressed the adverse effects of dementia fear,and 4 reported prevention and intervention measures for dementia fear.In total,there are 8 assessment tools,and the influencing factors are categorized into sociodemographic characteristics,psychological and behavioral characteristics,sociocultural background factors,and health and dementia-related factors.The final conclusion is that the fear of dementia is common among the elderly in the community.In the future,the application of research tools should be expanded among middle-aged individuals,with considerations for other types of dementia in mind.It is recommended to conduct large-scale,multi-center randomized controlled trials while confirming the intervention’s effect on different types of middle-aged and elderly individuals,focusing on the long-term impact of these intervention measures to promote healthy aging. 展开更多
关键词 dementia fear middle-aged and elderly people COMMUNITY scope review
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Correlation between psychological traits and the use of smart medical services in young and middle-aged adults: An observational study
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作者 Hu Zhang Yan Liu Rui Gu 《World Journal of Psychiatry》 SCIE 2024年第8期1224-1232,共9页
BACKGROUND Psychological problems affect economic development.However,there is a huge gap between mental health service resources and mental health service needs.Existing mental health service technology and platforms... BACKGROUND Psychological problems affect economic development.However,there is a huge gap between mental health service resources and mental health service needs.Existing mental health service technology and platforms cannot meet all the diverse mental health needs of people.Smart medicine is a new medical system based online that can effectively improve the quality and efficiency of medical services and make mental health services accessible.AIM To explore the level of intelligent medical use among young and middle-aged people and its correlation with psychological factors.METHODS Convenience sampling was used to select 200 young and middle-aged patients with medical experience at the Third People's Hospital of Chengdu between January 2022 and January 2023 as the research subjects.The general condition Questionnaire,Eysenck Personality Questionnaire,Symptom Checklist-90,General Health Questionnaire,and Smart Medical Service Use Intention Questionnaire were used to collect data.Pearson’s correlation was used to analyze the correlation between the participants’willingness to use smart medical services and their personality characteristics,psychological symptoms,and mental health.RESULTS The results revealed that the mental health of young and middle-aged people was poor,and some had psycho-logical problems such as anxiety,depression,and physical discomfort.Familiarity,acceptance,and usage of smart healthcare in this population are at a medium level,and these levels correlate with psychological characteristics.Acceptance was positively correlated with E,and negatively correlated with P,anxiety,fear,anxiety/insomnia,and social dysfunction.The degree of use was negatively correlated with P,obsessive-compulsive symptoms,depression,anxiety,hostility,paranoia,and somatic symptoms.CONCLUSION The familiarity,acceptance,and usage of smart medical services among the middle-aged and young groups are related to various psychological characteristics. 展开更多
关键词 Young and middle-aged people Smart healthcare Willingness to serve Psychological characteristics Questionnaire survey RELEVANCE
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Public Square Dancing Intervention on Subjective Well-Being of Middle-Aged and Elderly People:A Meta-Analysis
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作者 Menglong Li Xia Jiang Yujia Ren 《International Journal of Mental Health Promotion》 2022年第1期129-142,共14页
Objective:To understand the influence of public square dancing on the subjective well-being of middle-aged and elderly people.Methods:According to the principle of Preferred Reporting Items for Systematic Reviews and ... Objective:To understand the influence of public square dancing on the subjective well-being of middle-aged and elderly people.Methods:According to the principle of Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)guidelines,we search Chinese databases,such as CNKI,Wanfang Data,and VIP,and English databases,such as Proquest,Web of Science,Pubmed,Cochrane,and ScienceDirect,and collect relevant articles at home and abroad from 2006 to December 2019 for meta-analysis in January 2020.Result:A total of 10 articles were included.The meta-analysis results showed that the well-being of middle-aged and elderly people in the public square dancing intervention group was significantly higher than that of the other exercise group and control group(both P<0.01).The results of the subgroup analysis showed the following:Different durations of intervention significantly influence the intervention effect(P<0.01).No difference was found between the effect of the mixed-gender intervention and the individual female intervention(P>0.05).No significant difference was found between the groups with weekly intervention frequency(P>0.05).Conclusion:Public square dancing intervention is effective for middle-aged and elderly people’s subjective well-being.Neither mixed intervention nor the times of weekly intervention have an impact on the intervention effect.However,the length of duration of intervention influences the intervention effect. 展开更多
关键词 middle-aged and elderly people subjective well-being META-ANALYSIS square dancing
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The Relationship between Mental Health Literacy and Subjective Well-Being of Young and Middle-Aged Residents: Perceived the Mediating Role of Social Support and Its Urban-Rural Differences 被引量:2
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作者 Zhen Zhang Suyan Chen +4 位作者 Xiaoxuan Wang Jun Liu Yilin Zhang Yongxia Mei Zhenxiang Zhang 《International Journal of Mental Health Promotion》 2023年第4期471-483,共13页
This study investigates mental health literacy among young and middle-aged urban and rural residents and the differences in mental health literacy,perceived social support and subjective well-being.From January to Feb... This study investigates mental health literacy among young and middle-aged urban and rural residents and the differences in mental health literacy,perceived social support and subjective well-being.From January to February 2022,620 participants(320 rural and 300 urban residents)from three provinces of China were selected by con-venience sampling.A general data questionnaire,mental health literacy scale,perceived social support scale and subjective well-being scale were administered.The mental health literacy scores of urban residents were 3.34±0.57 and those of rural residents were 2.73±0.79.The results of multiple regression analysis showed that the mental health literacy scores of rural residents were more significant than those of urban residents in terms of sex and age,while urban residents’mental health literacy scores were more significant than those of rural resi-dents in terms of monthly income.Mental health literacy,perceived social support and subjective well-being of young and middle-aged urban and rural residents were all positively correlated(P<0.01).While the level of mental health literacy is better among urban residents than rural residents,perceived social support plays a partial mediating role between mental health literacy and subjective well-being of both urban and rural residents,and should be the focus of researchers seeking to improve the level of well-being of residents. 展开更多
关键词 Young and middle-aged people mental health literacy perceived social support subjective well-being mediating role
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Relationship between Waist Circumference, Waist-Height Ratio, Body Fat Percentage, Visceral Fat and Bone Mineral Density in Middle-Aged and Elderly Zhuang of China
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作者 Dianchen Zhao Ziyang Fang +12 位作者 Qingxiu Feng Xingyu Li Ying Li Xin Zhang Jinting Wei Tao Feng Yinjun Luo Shijing Ma Cailian Qin Guangwu Huang Quanquan Zhang Biao Li Jinhua Wang 《Journal of Biosciences and Medicines》 2023年第4期319-331,共13页
Objective: To understand the correlation between different degrees of obesity and bone mineral density (BMD). Methods: 772 cases (300 men and 472 females) of Zhuang over 40 years old were randomly selected. The BMD an... Objective: To understand the correlation between different degrees of obesity and bone mineral density (BMD). Methods: 772 cases (300 men and 472 females) of Zhuang over 40 years old were randomly selected. The BMD and T score were calculated by measuring the right heel bone using a quantitative-ultrasound densitometer. Body composition index of body weight, waist circumference (WC), waist height ratio (WtHR), body fat percentage (BFP) and visceral fat (VF) were measured using a bioelectrical impedance method. Results: The BMI, WC, and WtHR of the male osteoporosis group were lower than those of the normal bone mass (NBM) group (P Conclusion: BMI is positively correlated with BMD in Zhuang. BFP has a greater correlation with female BMD, and a small reduction in BFP can result in a significant decrease in BMD. BMD of male was positively correlated with abdominal obesity indicators (WC, WtHR, VF). However, abdominal obesity has no obvious effect on the promotion of BMD in women, and increased WtHR can lead to a decrease in BMD. Zhuang can appropriately increase the amount of fat within the normal weight range. At the same time, reasonable exercise and balanced nutrition to avoid excessive obesity or low body weight can reduce the incidence of osteoporosis and osteoporosis fractures. 展开更多
关键词 middle-aged and Old people Bone Mineral Density OBESITY Correlation
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Associations of short-term ambient temperature exposure with lung function in middle-aged and elderly people:A longitudinal study in China
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作者 Weihong Qiu Bin Wang +9 位作者 Xiaobing Feng Heng He Lieyang Fan Zi Yea Xiuquan Nie Ge Mua Wei Liu Dongming Wang Min Zhou Weihong Chen 《Eco-Environment & Health》 2024年第2期165-173,共9页
The short-term associations of ambient temperature exposure with lung function in middle-aged and elderly Chinese remain obscure.The study included 19,128 participants from the Dongfeng-Tongji cohort's first(2013)... The short-term associations of ambient temperature exposure with lung function in middle-aged and elderly Chinese remain obscure.The study included 19,128 participants from the Dongfeng-Tongji cohort's first(2013)and second(2018)follow-ups.The lung function for each subject was determined between April and December 2013 and re-assessed in 2018,with three parameters(forced vital capacity[FVC],forced expiratory volume in 1 s[FEV1],and peak expiratory flow[PEF])selected.The China Meteorological Data Sharing Service Center provided temperature data during the study period.In the two follow-ups,a total of 25,511 records(average age:first,64.57;second,65.80)were evaluated,including 10,604 males(41.57%).The inversely J-shaped associations between moving average temperatures(lag01–lag07)and FVC,FEV1,and PEF were observed,and the optimum temperatures at lag04 were 16.5C,18.7C,and 16.2C,respectively.At lag04,every 1C increase in temperature was associated with 14.07 mL,9.78 mL,and 62.72 mL/s increase in FVC,FEV1,and PEF in the lowtemperature zone(<the optimum temperatures),whereas 5.72 mL,2.01 mL,and 11.64 mL/s decrease in the high-temperature zone(the optimum temperatures),respectively(all P<0.05).We observed significant effect modifications of gender,age,body mass index,body surface area,smoking status,drinking status,and physical activity on the associations(all Pmodification<0.05).Non-optimal temperatures may cause lung function decline.Several individual characters and lifestyles have effect modification on the temperature effects. 展开更多
关键词 Ambient temperature Lung function middle-aged and elderly people Vulnerable groups Linear mixed-effects model Generalized additive mixed model
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Prevalence and influence factors of self-medication in Chinese middle-aged and elderly people: evidence from 2011, 2013 and 2015 CHARLS panel data 被引量:9
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作者 Zhuangfei Wang Xiaodong Guan +3 位作者 Yue Zhou Sheng Han Peng Yao Luwen Shi 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2019年第6期430-438,共9页
Self-medication is an increasingly frequent phenomenon worldwide and has an important influence on health.In this study,we analyzed the self-medication prevalence rate in Chinese middle-aged and elderly people,and exp... Self-medication is an increasingly frequent phenomenon worldwide and has an important influence on health.In this study,we analyzed the self-medication prevalence rate in Chinese middle-aged and elderly people,and explored the influence factors.The data from China Health and Retirement Longitudinal Study(CHARLS)in 2011,2013 and 2015 were used.Self-medication prevalence was calculated as the number of whole people divided by the number of people taking self-medication.The influence factors of self-medication were analyzed by panel data random effect model.We excluded observations with missing values in our analysis,leaving 16 962,17 876 and 19 572 observations in 2011,2013 and 2015,respectively.The average 3-year self-medication prevalence was 45.52%.Moreover,11.70%of respondents practiced self-medication with prescription medicine in 2011,2013 and 2015.Respondents living in non-rural areas(P=0.009)and western region(P=0.000)took more self-medication.Self-medication was a common phenomenon among middle-aged and elderly population in China.The government should strengthen the guidance for the middle-aged and elderly people who took more self-medication,such as those living in urban and western region. 展开更多
关键词 SELF-MEDICATION PREVALENCE Influence factors Chinese middle-aged and elderly people
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Analysis of the impact of exercise education interventions on middle-aged and elderly people in Central-western rural China
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作者 Zhanhong Zong Yong Wen Xiaoming Sun 《China Population and Development Studies》 2020年第5期171-185,共15页
This study aims to analyze the impact of health education effort that promote exercise activities have had on middle-aged and older people in central-western rural China.The Project for Family Health Care(PFHC)of the ... This study aims to analyze the impact of health education effort that promote exercise activities have had on middle-aged and older people in central-western rural China.The Project for Family Health Care(PFHC)of the population in central and western China used questionnaires completed anonymously to survey 4217 randomly selected respondents in the baseline year of 2011,and 4529 in the end-line year of 2015.We used bivariate and multivariate analyses to examine the associations between several factors and regular exercise activities.The 2011 baseline year sample indicated that 90.5%of respondents knew the functions of regular exercise,but that only 45.4%participated in regular exercise activities.In the baseline multivariate model,a number of factors were positively associated with the prevalence of participation in regular exercise activities.Respondents who were women,older,retired,lived with children,had chronic diseases,and self-reported better health were more likely to participate in regular exercise.The proportion of those participating in regular exercise increased to 75.9%among the end-line year respondents after health education.This study revealed that health education interventions effectively encouraged rural middle-aged and elderly people to participate in regular exercise activities.Health education efforts of this sort for rural middle-aged and older adults should be further strengthened,and more public facilities for exercise should be provided. 展开更多
关键词 middle-aged and elderly people Regular exercise INTERVENTION Central-western rural china
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METABONOMICS CHARACTERISTICS OF MIDDLE-AGED AND ELDERLY CHINESE PEOPLE WITH QI-INSUFFICIENCY CONSTITUTION
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作者 Qianchun Yang Peng Xu +3 位作者 Chuang Li Wei Mao Li Li Xing Liang 《World Journal of Traditional Chinese Medicine》 2015年第4期98-98,共1页
The aim of the work was to investigate the metabonomic characteristics of qi-insufficiency constitution among middle-aged and elderly healthy Chinese people.All healthy Chinese participants were screened from 2012annu... The aim of the work was to investigate the metabonomic characteristics of qi-insufficiency constitution among middle-aged and elderly healthy Chinese people.All healthy Chinese participants were screened from 2012annual health check-up for middle-aged and elderly community residents(=50 years old)at Chajiao community, 展开更多
关键词 METABONOMICS CHARACTERISTICS OF middle-aged AND ELDERLY CHINESE people WITH QI-INSUFFICIENCY CONSTITUTION WWW
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重庆市老年人口社区卫生服务现状研究 被引量:17
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作者 黄莉 张亮 《重庆医学》 CAS CSCD 北大核心 2010年第11期1362-1364,共3页
目的研究重庆市老年人口社区卫生服务现状。方法 2009年5-9月对重庆市老年人口的社区卫生服务现状进行了现场调查。结果分析老年人口对社区卫生服务需求的影响因素。结论改善老年人口社区卫生服务现状、提高老年人口社区卫生服务利用关... 目的研究重庆市老年人口社区卫生服务现状。方法 2009年5-9月对重庆市老年人口的社区卫生服务现状进行了现场调查。结果分析老年人口对社区卫生服务需求的影响因素。结论改善老年人口社区卫生服务现状、提高老年人口社区卫生服务利用关键在于解决好老年人口和社区卫生服务提供这一供需矛盾。 展开更多
关键词 老年人口 社区卫生服务
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多脏器疾病的老年人骨折愈合及骨折病的防治 被引量:2
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作者 苟三怀 杨立利 +5 位作者 葛亮 刘岩 欧阳跃平 韩庆林 王琪 席焱海 《生物骨科材料与临床研究》 CAS 2006年第5期13-15,共3页
目的探讨如何提高70岁以上多脏器疾病(衰退)老年人骨折愈合问题及骨折病防治的措施和方法。方法(1)老年人骨折后仔细了解骨折前疾病史并积极预防和治疗,对患有多脏器疾病的如严重的心血管疾病、呼吸系统疾病等由专科协同治疗,(2)早期有... 目的探讨如何提高70岁以上多脏器疾病(衰退)老年人骨折愈合问题及骨折病防治的措施和方法。方法(1)老年人骨折后仔细了解骨折前疾病史并积极预防和治疗,对患有多脏器疾病的如严重的心血管疾病、呼吸系统疾病等由专科协同治疗,(2)早期有效的手术治疗方法,(3)鼓励早期肢体运动,4、预防骨质疏松、关节退变、肌肉萎缩等骨折病。结果本组随访258例,随访时间1~5年,平均随访时间3.8年。死亡8例(3.10%),恢复自主生活能力199例(77.13%);部分恢复生活能力32例(12.40%);失去生活能力19例(7.36%)。骨折愈合情况;除死亡8例外,250例进行定期随访;8~10月骨折愈合225例,10个月以上骨折愈合25例;(其中包括慢性感染影响骨折愈合3例),内固定松动6例,内固定断裂4例。结论对患有多脏器衰退老年人骨折后在内科疾病的管理监护下,早期进行手术治疗,减少老年人骨折后并发症,积极进行肢体功能锻炼,能有效的提高骨折愈合和老年人日后生活质量。 展开更多
关键词 老年人 多脏器疾病 骨折愈合 生活质量
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武术桩功练习对老年人骨密度和骨代谢生化标志物的影响 被引量:12
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作者 尹海滨 《中国骨质疏松杂志》 CAS CSCD 北大核心 2013年第5期479-481,449,共4页
目的了解练习武术桩功对老年人骨量的影响。方法选取自愿参加本测试的老年男性43人为研究对象,其中,常年进行武术桩功练习的老年人21人(习练桩功组),日常不参加专门体育运动老年人22人(对照组)。应用美国GE公司生产的双能X线骨密度仪(型... 目的了解练习武术桩功对老年人骨量的影响。方法选取自愿参加本测试的老年男性43人为研究对象,其中,常年进行武术桩功练习的老年人21人(习练桩功组),日常不参加专门体育运动老年人22人(对照组)。应用美国GE公司生产的双能X线骨密度仪(型号Lunar Prodigy),测定研究对象腰椎侧位(L2-4),左侧股骨颈(L-FN)、大转子(L-TR)和wards区骨密度。使用意大利生产的SABA自动生化分析仪(AMS,Analyzer Medical System),按照试剂盒要求进行骨代谢生化标志物的检测。结果习练桩功组在不同部位的骨密度明显高于对照组,且统计学均表现出高度显著性(P<0.01)。习练桩功组与对照组老年人骨代谢生化指标统计学比较,血清碱性磷酸酶、血钙浓度、尿钙/肌酐均具有高度显著性(P<0.01)。结论老年人常年进行传统武术桩功练习可以使身体各部位骨骼和肌肉得到均衡发展,可以促进成骨细胞活性,增加骨骼的密度。 展开更多
关键词 桩功 老年人 骨密度 骨代谢
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社区中老年人慢性病及卫生服务需求现况调查 被引量:12
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作者 李迎春 胡传来 +2 位作者 陶兴永 阮亮 马淑芳 《实用全科医学》 2005年第1期61-62,共2页
目的 考察社区中老年人的慢性病患病现状及其对社区卫生服务的需求。方法 采用结构式访谈法对某社区 5 5岁以上中老年人进行入户调查 ,考察该社区中老年人慢性病患病率和卫生服务需求情况。结果 该人群慢性病患病率为 68.1% ,年龄越... 目的 考察社区中老年人的慢性病患病现状及其对社区卫生服务的需求。方法 采用结构式访谈法对某社区 5 5岁以上中老年人进行入户调查 ,考察该社区中老年人慢性病患病率和卫生服务需求情况。结果 该人群慢性病患病率为 68.1% ,年龄越大患病率越高。慢性病主要以循环系统疾病为主 ,其次是内分泌、营养代谢疾病。前十位慢性病分别是高血压、冠心病、糖尿病、高脂血症、胆结石、脑卒中、慢性支气管炎、慢性咽炎、关节炎和白内障。 66.0 %的中老年人有 1项及以上社区卫生服务需求 ,其中以定期体检、健康指导为主。结论 立足社区 ,广泛开展慢性病预防保健、健康教育和健康促进服务 ,以提高社区中老年居民的健康水平和生活质量。 展开更多
关键词 中老年人 慢性病患病率 社区卫生服务需求 社区 现况调查 健康教育 患病现状 预防保健 循环系统疾病 高脂血症
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老年甲状腺功能亢进症48例临床分析 被引量:1
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作者 秦淑兰 宋志纯 《实用临床医学(江西)》 CAS 2003年第4期60-61,共2页
目的 :总结老年甲状腺功能亢进症患者的临床特点。方法 :收集我院 1998年至 2 0 0 2年 4 8例老年甲亢住院患者进行回顾性研究 ,分析老年患者临床特点、误诊原因及治疗转归。结果 :起病以心血管系统及消化道系统症状为主。甲状腺肿大仅占... 目的 :总结老年甲状腺功能亢进症患者的临床特点。方法 :收集我院 1998年至 2 0 0 2年 4 8例老年甲亢住院患者进行回顾性研究 ,分析老年患者临床特点、误诊原因及治疗转归。结果 :起病以心血管系统及消化道系统症状为主。甲状腺肿大仅占 12 .5 0 % ,突眼占 10 .4 2 %。误诊率及漏诊率高达 4 3.75 %。药物治疗有效率达 94 .5 9%。结论 :老年甲亢患者临床表现不典型 ,极易被误诊、漏诊。 展开更多
关键词 甲状腺功能亢进症 老年人 分析
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60岁以上老年人变应性鼻炎临床特征分析 被引量:1
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作者 程波 张志茂 +3 位作者 裴智 章松勤 卢兵 刘方军 《中国眼耳鼻喉科杂志》 2016年第3期190-192,共3页
目的了解宜昌市城区60岁以上老年人变应性鼻炎(AR)的流行病学特征,提出有效的防控措施。方法收集2010~2014年宜昌市城区综合医疗机构耳鼻喉科门诊接诊的60岁以上老年AR患者的病史资料,录入数据库并进行统计分析。结果近年来该地区AR... 目的了解宜昌市城区60岁以上老年人变应性鼻炎(AR)的流行病学特征,提出有效的防控措施。方法收集2010~2014年宜昌市城区综合医疗机构耳鼻喉科门诊接诊的60岁以上老年AR患者的病史资料,录入数据库并进行统计分析。结果近年来该地区AR老年患者数量逐年上升,春、冬季为高发季节;65~70岁年龄段人群为主要发病人群;不同类型的病例在年龄、地区构成上差异均有统计学意义(P〈0.01);变应原种类及阳性程度在性别、年龄构成上差异均有统计学意义(P〈0.01)。结论需加强对老年人群的健康教育,优化环境,加强季节性预防,适度锻炼,同时改变不良生活习惯,出现症状应及时就医、规范治疗。 展开更多
关键词 变应性鼻炎 老年人 特征
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中药膏外涂治疗老年痴呆患者Ⅲ、Ⅳ期压疮的疗效观察 被引量:1
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作者 朱一英 黄兆玲 +1 位作者 王维山 王雪敬 《现代临床护理》 2007年第6期18-19,共2页
目的观察中药膏外涂治疗老年痴呆患者Ⅲ、Ⅳ期压疮的疗效。方法随机将30例老年痴呆合并Ⅲ、Ⅳ期压疮的患者分为治疗组和对照组各15例,治疗组采用由中药麝香、牛黄、冰片等配制的膏剂外涂创面,对照组采用康复新液外涂创面,观察两组治疗... 目的观察中药膏外涂治疗老年痴呆患者Ⅲ、Ⅳ期压疮的疗效。方法随机将30例老年痴呆合并Ⅲ、Ⅳ期压疮的患者分为治疗组和对照组各15例,治疗组采用由中药麝香、牛黄、冰片等配制的膏剂外涂创面,对照组采用康复新液外涂创面,观察两组治疗的效果。结果治疗组有效率为93.3%,对照组有效率为46.7%,两组比较,差异有统计学意义(P<0.05)。结论使用中药麝香、牛黄、冰片等配制的膏剂治疗Ⅲ、Ⅳ期老年压疮,明显优于应用康复新液治疗,具有治愈率高、伤口愈合快等优点。 展开更多
关键词 老年人 痴呆 压疮 中药
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动力髋螺钉及3根空心螺钉两种内固定方式治疗中老年股骨颈基底型骨折临床疗效对比 被引量:2
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作者 吴飞跃 蓝日升 叶志君 《浙江创伤外科》 2013年第3期310-312,共3页
目的比较动力髋螺钉(DHS)内固定方式及3根空心螺钉内固定方式治疗中老年(年龄≥55岁)新鲜的(骨折至手术时间≤3天)股骨颈基底型骨折的临床疗效。方法回顾性分析本院1999年至2009年10年间收住入院的中老年股骨颈基底型骨折的患者57人,其... 目的比较动力髋螺钉(DHS)内固定方式及3根空心螺钉内固定方式治疗中老年(年龄≥55岁)新鲜的(骨折至手术时间≤3天)股骨颈基底型骨折的临床疗效。方法回顾性分析本院1999年至2009年10年间收住入院的中老年股骨颈基底型骨折的患者57人,其中采用动力髋螺钉内固定的有23例(DHS组),3根空心螺钉内固定的有34例(空心钉组)。两组患者均予以2年以上随访时间,比较两组患者手术时间、术中出血量、术后住院时间、术后至可下地负体重自主行走时间、术后1年优良率(Harris评分≥80分)、术后2年优良率、并发症发生率。结果 DHS组手术时间、术中出血量、术后住院时间均大于空心钉组(P<0.05);DHS组术后至可下地负体重行走时间小于空心钉组(P<0.05)。DHS组术后1年优良率、术后两年优良率均大于空心钉组(P<0.05)。DHS组术后并发症发生率小于空心钉组(P<0.05)。结论对于中老年新鲜的股骨颈基底型骨折,相比于3根空心螺钉固定,笔者更推荐动力髋螺钉内固定方式作为首选内固定方案。 展开更多
关键词 中老年 股骨颈基底型骨折 空心螺钉 动力髋螺钉 内固定
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探讨多种传统保健体育项目对中老年人心理情绪及免疫功能的影响 被引量:3
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作者 刘海斌 《智慧健康》 2018年第15期42-43,96,共3页
高血压、糖尿病及相关的心脑血管等慢性疾病成为中老年人群的多发性疾病,随着发病频率的增加,逐渐影响中老年人的身体健康和免疫系统,增加心理和情绪上的负担,加重病情。然而,根据相关调查数据显示,以上慢性疾病的发病原因多数因为中老... 高血压、糖尿病及相关的心脑血管等慢性疾病成为中老年人群的多发性疾病,随着发病频率的增加,逐渐影响中老年人的身体健康和免疫系统,增加心理和情绪上的负担,加重病情。然而,根据相关调查数据显示,以上慢性疾病的发病原因多数因为中老年人饮食的不规律,缺乏运动而造成。因此,中老年人应合理安排自我的饮食和生活作息,并做出合理的运动安排。体育锻炼可有利于调节中老年人的身心健康,促进中老年人注意力、心理、体质以及整体免疫功能的调理和发展,但在开展体育项目时应结合中老年人的个人情况进行科学、合理、健康的安排,避免剧烈运动起到适得其反的作用。本文针对多种传统保健体育项目做出以下个人分析,从而论证了传统保健体育项目对中老年人心理情绪及免疫功能的影响。 展开更多
关键词 传统保健体育项目 中老年人 心理情绪 免疫功能
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老老年高血压患者颈动脉斑块危险因素研究 被引量:5
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作者 李健豪 董吁钢 +1 位作者 黄慧玲 宋明才 《岭南心血管病杂志》 2019年第3期306-310,共5页
目的探讨老老年原发性高血压(高血压)患者与普通老年高血压患者颈动脉斑块发生危险因素的差异。方法选取中山大学第一附属医院及番禺区中心医院2015年1月至2015年12月年龄≥80岁高血压患者117例为观察组,年龄65~79岁高血压患者108例为... 目的探讨老老年原发性高血压(高血压)患者与普通老年高血压患者颈动脉斑块发生危险因素的差异。方法选取中山大学第一附属医院及番禺区中心医院2015年1月至2015年12月年龄≥80岁高血压患者117例为观察组,年龄65~79岁高血压患者108例为对照组,采集包括冠状动脉粥样硬化性心脏病(冠心病)、糖尿病、脑卒中及肾功能不全病史,降压药及他汀类药物使用情况,记录血压、心率、生化、颈动脉超声检查结果。采用单因素和多因素Logistic回归分析,比较2组患者颈动脉斑块化发生的危险因素的异同。结果观察组冠心病患病率较高,基础心率较慢,载脂蛋白A浓度较高,差异有统计学意义(P<0.05);2组使用降压药的种类比较,差异有统计学意义(P<0.05)。观察组使用钙通道拮抗剂患者比例较高,对照组使用β受体阻断药患者比例较高,差异有统计学意义(P<0.05)。2组颈动脉斑块检出率比较,差异无统计学意义(81.2%vs.74.1%,P=0.199),2组患者之间未显示颈动脉斑块随年龄增长而进一步增加趋势。对2组人群共同多因素的Logistic回归分析结果显示,颈动脉斑块发生的相关因素有年龄、缺血性脑卒中病史与内膜中层厚度(OR=0.046、0.020、0.016,均P<0.05)。对观察组及对照组分别作影响颈动脉斑块的多因素Logistic回归分析结果显示,观察组与缺血性脑卒中病史相关(OR=3.03,P=0.034),对照组与内膜中层厚度相关(OR=14.39,P=0.003)。结论老老年高血压患者颈动脉斑块发生相关因素与普通老年高血压患者有差异;与普通老年高血压患者比较,老老年高血压患者颈动脉斑块发生率无进一步增加,提示颈动脉斑块多在80岁以前发生,应重视早期对危险因素干预。 展开更多
关键词 高血压 颈动脉粥样硬化 老年 危险因素
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右美托咪啶对老年人术后认知功能的影响 被引量:13
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作者 项余华 叶月利 +2 位作者 罗苹 李有辉 曹志得 《中国中西医结合外科杂志》 CAS 2012年第4期358-360,共3页
目的:探讨右美托咪啶对老年人术后认知功能的影响及可能作用机制。方法:将择期手术治疗的腰椎骨折和髋关节置换术46例患者随机分为对照组(I组)和右美托咪啶组(II组),II组麻醉诱导前静脉输注右美托咪啶,负荷剂量0.8 ug/kg,输注时间10~15... 目的:探讨右美托咪啶对老年人术后认知功能的影响及可能作用机制。方法:将择期手术治疗的腰椎骨折和髋关节置换术46例患者随机分为对照组(I组)和右美托咪啶组(II组),II组麻醉诱导前静脉输注右美托咪啶,负荷剂量0.8 ug/kg,输注时间10~15 min,以0.5 mg.kg-1.h-1的速率持续至术毕,I组给予等容量的生理盐水。于给药前(T1)、手术开始后1 h(T2)和手术结束后(T3)检测血浆皮质醇浓度,分别于术前1 d、术后1 d、术后3 d、术后7 d评估病人认知功能状态。结果:与I组比较,II组术后认知功能障碍发生率明显降低(P<0.05),皮质醇浓度在麻醉诱导后(T2)明显降低(P<0.05)。结论:右美托咪啶围术期给药,可预防老年人认知功能障碍发生,其可能机制与降低皮质醇浓度有关。 展开更多
关键词 右美托咪啶 老年人 认知功能障碍 皮质醇
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