南宁市某社区老年人跌倒与认知功能障碍的相关性研究  

Study on the Correlation Between Falls and Cognitive Impairment in a Community of Nanning

作　　者：吕渊[1] 胡才友[1] 付棉[1] 吕泽平 徐薇[1] 阳初玉[1] 张为[1] 梁梅[1] 梁丽[1] 杨泽[3] 

机构地区：[1]广西壮族自治区江滨医院,530021 [2]国家康复辅具研究中心附属康复医院,100176 [3]北京医院、国家老年医学中心、卫生部老年医学重点实验室,100730

出　　处：《中国老年保健医学》2017年第4期11-13,共3页Chinese Journal of Geriatric Care

基　　金：国家科技支撑计划课题(2012BAI10B01,2015BAI06B02,2015BAI06B03);国家自然科学基金课题(81460203,81061120527,81370445,81472408);广西自然科学基金项目(2014GXNSFDA118028);广西医疗卫生适宜技术研究与开发项目(S201402-1);广西科技攻关项目(桂科攻1355005-6-2);广西卫生厅重点项目(重200217);广西卫生厅自筹项目(Z2014565)

摘　　要：目的探讨城市社区老年人跌倒发生与认知功能障碍相关性。方法对南宁市某社区1222名老年人(≥60岁)进行调查,了解跌倒、认知功能障碍发生情况,分析跌倒发生与认知功能障碍之间关系。结果 (1)本组老人跌倒发生率为29.8%,跌倒损伤发生率高(46.28%),随年龄增长跌倒发生率增高;(2)认知障碍组的跌倒发生率明显高于认知功能正常组,两组比较有显著性差异(32.8%:24.9%,P<0.05);(3)Mini-Cog得分为5分者跌倒发生率最高,得分为1分者跌倒发生率最低,跌倒发生率与认知功能的损害程度非直线相关关系。结论城市社区老年人跌倒及跌倒损伤发生率高;认知功能障碍组较认知功能正常组跌倒发生率高,且痴呆者更易发生跌倒,需加强跌倒预防和干预。Objectives To explore the association between falls and cognitive dysfunction in urban elderly. Methods A total of 1222 elderly people （ t〉60 years） in a community of Nanning were investigated to find out the occurrence of falls and cognitive dysfunction, and to analyze the relationship between falls and cognitive dysfunction. Results ① The incidence of falls was 29. 8% , the rate of falls injury was 46. 28% , and the incidence of falls was increased with age. ② The incidence of falls in the cognitive impairment group was significantly higher than that in the normal cognitive function group ,There was significant difference between the two groups （32. 8% ： 24. 9% , P 〈 0.05 ） ;③ Mini-Cog score of 5 points were the highest incidence of falls, and the lowest incidence of falls was 1 point. There was a non-linear correlation between the incidence of falls and the degree of impairment of cognitive function. Conclusion The incidence of falls and falls injury in elderly people is higher in the urban community. The incidence of falls in the cognitive impairment group is higher than that in the normal cognition group, especially in the dementia group. It is necessary to strengthen the fall prevention and intervention.

关 键 词：老年人 跌倒 认知功能障碍 

分 类 号：R749.1[医药卫生—神经病学与精神病学]