老年慢性阻塞性肺疾病患者认知变化及影响因素分析  

Analysis of cognitive change and its influencing factors in elderly patients with chronic obstructive pulmonary disease

作　　者：方蒡[1] 牛华[1] 张芹[1] 毛琴[1] 何旭[1] 全胜麟[1] Fang Pang;Niu Hu;Zhang Qin;Mao Qin;He Xu;Quan Shenglin(Kunming University of Science and Technology School of Medicine, (Department of Geriatrics,the First People's Hospital of Yunnan Province)(Kunming City)650032)

机构地区：[1]昆明理工大学医学院,云南省第一人民医院老年病科,昆明650032

出　　处：《中国社区医师》2017年第9期71-72,74,共3页Chinese Community Doctors

摘　　要：目的:探讨老年COPD患者认知功能的变化及影响因素。方法:采用简易精神状态评价量表对100例老年COPD患者进行认知功能测评,并分析比较患者的各项临床资料。结果:100例患者中出现认知功能障碍67例,MMSE量表总分和定向力、记忆力、注意与计算力、回忆力、书面书写、绘图各单项分较无认知障碍组显著降低(P<0.05),年龄、病程、受教育年限、抑郁、高血压和高尿酸血症是影响老年COPD患者认知功能的危险因素。结论:老年COPD患者广泛存在认知功能障碍,需注意及早对其进行筛查、评估及干预。Objective:To investigate the cognitive change and its influencing factors in elderly patients with chronic obstructive pulmonary disease.Methods:We evaluated the cognitive function of100elderly patients with COPD used the mini mental state assessment scale,and analyzed the clinical data of the patients.Results:In100patients with cognitive dysfunction in67cases,the score of MMSE scale and orientation,memory,attention and computing power,memory,writing and drawing of each individualcompared with the non cognitive impairment group were decreased significantly(P<0.05);age,course of disease,education years,depression,hypertension and hyperuricemia were the risk factors for cognitive function in elderly patients with COPD.Conclusion:The elderly patients with COPD have a wide range of cognitive dysfunction,so we should pay attention to early screening,evaluation and intervention.

关 键 词：老年 慢性阻塞性肺疾病 认知功能 影响因素 

分 类 号：R563.9[医药卫生—呼吸系统]