齐齐哈尔市社区老年居民帕金森病检出情况及影响因素研究  

Prevalence and influencing factors of Parkinson disease in elderly community residents in Qiqihar

作　　者：杨雪雯 于丹丹 魏洪娟 杨立群[3] YANG Xue-wen;YU Dan-dan;WEI Hong-juan;YANG Li-qun(Xinxiang Medical College,Xinxiang 453003,China;Qiqihar Medical College;School of Nursing,Qiqihar Medical College)

机构地区：[1]新乡医学院,河南新乡453003 [2]齐齐哈尔医学院 [3]齐齐哈尔医学院护理学院

出　　处：《华南预防医学》2021年第4期465-468,共4页South China Journal of Preventive Medicine

基　　金：齐齐哈尔医学科学院面上项目(QMSI2019M-15)。

摘　　要：目的对社区老年居民帕金森病(PD)流行情况及相关影响因素进行调查,为制定因地制宜的预防控制措施提供科学依据。方法 2019年6—9月期间采用多阶段分层整群随机抽样方法抽取齐齐哈尔市6个社区年龄≥60岁常住居民进行PD筛查,筛查阳性者由神经科医师按诊断标准进行确诊。采用描述流行病学分析方法对PD患病情况进行分析,并采用单、多因素分析方法对PD影响因素进行分析。结果本研究共对8 645名齐齐哈尔市社区≥60岁居民进行调查。年龄60~93岁,平均年龄(72.36±5.22)岁。男性3 864人,女性4 781人。检出PD 169例,患病率为1.95%。受教育水平越高(小学OR=0.581、初中及以上OR=0.352)、经常运动(OR=0.554)为PD患病的保护因素;而男性(OR=1.634)、年龄越大(70~岁OR=1.673、80~93岁OR=1.973)、脑卒中(OR=1.451)、家族史(OR=1.712)均为PD患病的危险因素。结论齐齐哈尔市≥60岁社区居民PD患病率较高,男性、有脑卒中及PD家族史的高龄老年人为高危人群,应保持适当的锻炼运动进行PD预防。Objective To investigate the prevalence of Parkinson disease(PD)among elderly residents in the community and its related influencing factors,so as to provide a scientific basis for formulating prevention and control measures tailored to local conditions.Methods From June to September in 2019,residents aged over 60 years old in six communities of Qiqihar City were selected by multi-stage stratified cluster random sampling method for PD screening,and those with positive screening results were diagnosed by neurologists according to the diagnostic criteria. Descriptive epidemiological analysis was used to analyze the prevalence of PD,and univariate and multivariate analysis were used to analyze the influencing factors of PD.Results In this study,a total of 8 645 community residents aged over 60 years old in Qiqihar City were investigated. The age ranged from 60 to 93,the average age was(72.36 ± 5.22)years. There were 3 864 males and 4 781 females. Among them,169 cases of PD were detected,and the prevalence rate was 1.95%. Higher education level(OR=0.581 in primary school,OR=0.352 in junior high school and above),regular exercise(OR=0.554)were the protective factors of PD,while male(OR=1.634),older age(OR=1.673 in 70-79 years,OR=1.973 in 80-93 years),stroke(OR=1.451) and family history(OR=1.712)were the risk factors of PD.Conclusion The prevalence of PD in community residents aged over 60 years old in Qiqihar is relatively high,male and the elderly with stroke and family history of PD are high-risk groups. Appropriate exercises should be maintained for PD prevention.

关 键 词：老年居民 帕金森病 患病率 影响因素 

分 类 号：R195[医药卫生—卫生统计学]