社区老年人运动障碍综合征与轻度认知障碍发生现状及其相关性  

Occurrence and correlation of locomotive syndrome and mild cognitive impairment in community elderly

作　　者：李洁 王岚[1] 赵丰雪 孙亚迪 杨磊 LI Jie;WANG Lan;ZHAO Fengxue;SUN Yadi;YANG Lei(School of Nursing,Xinxiang Medical University,Xinxiang 453003,Henan Province,China;Department of Sleep Medicine,the Second Affiliated Hospital of Xinxiang Medical University,Xinxiang 453002,Henan Province,China)

机构地区：[1]新乡医学院护理学院,河南新乡453003 [2]新乡医学院第二附属医院睡眠医学科,河南新乡453002

出　　处：《新乡医学院学报》2022年第7期617-621,共5页Journal of Xinxiang Medical University

基　　金：国家自然科学基金资助项目(编号:81500984)。

摘　　要：目的探讨社区老年人运动障碍综合征(LS)与轻度认知障碍(MCI)的发生现状及其相关性。方法采用便利抽样方法选择2020年6月至2020年12月在河南省新乡市红旗区、牧野区、卫滨区的≥60岁常住居民913人为研究对象。采用基本情况调查表调查研究对象的人口社会学特征资料,采用简易智能精神状态检查量表(MMSE)评估研究对象的认知功能,采用老年人运动功能量表(GLFS-25)评估研究对象的运动功能状态。根据MMSE和GLFS-25评分分析社区老年人发生LS和MCI的危险因素,并分析LS与MCI之间的关系。结果社区老年人LS发生率为9.6%(88/913);单因素分析结果显示,年龄、性别、文化程度、慢性疾病种数及是否有MCI与LS发生相关(P<0.05);logistic回归分析显示,年龄>70岁、女性及伴有MCI是社区老年人发生LS的危险因素(P<0.05)。社区老年人MCI发生率为12.2%(111/913);单因素分析结果显示,年龄、性别、文化程度及是否有LS与MCI发生相关(P<0.05);logistic回归分析结果显示,年龄>70岁及伴有LS是社区老年人发生MCI的危险因素(P<0.001)。MMSE总分与GLFS-25中身体疼痛维度、日常生活活动维度、社会活动维度、精神健康状态维度评分及GLFS-25总分呈显著负相关(r=-0.214、-0.291、-0.266、-0.181、-0.329,P<0.001)。结论社区老年人LS和MCI发生率较高,LS与MCI互为影响因素。Objective To investigate the current status and correlation of locomotive syndrome(LS)and mild cognitive impairment(MCI)in community elderly.Methods A total of 913 community elderly aged≥60 years old in Hongqi District,Muye District and Weibin District of Xinxiang city,Henan province from June 2020 to December 2020 were selected as research objects by using a convenience sampling method.The demographic and sociological characteristics of the subjects were investigated by using the basic information questionnaire,and the cognitive function of the subjects was evaluated by using the mini mental state examination(MMSE),the motor function of the subjects was evaluated by using the geriatric locomotive function scale(GLFS-25).According to MMSE and GLFS-25 scores,the risk factors of LS and MCI in the community elderly were analyzed,and the relationship between LS and MCI was analyzed.Results The incidence of LS in the community elderly was 9.6%(88/913).Univariate analysis showed that age,gender,educational level,the number of chronic diseases and whether combined with MCI were associated with LS(P<0.05);logistic regression analysis showed that age>70 years old,female and combined with MCI were the risk factors of LS in the community elderly(P<0.05).The incidence of MCI in the community elderly was 12.2%(111/913);univariate analysis showed that age,gender,educational level and whether combined with LS were associated with MCI(P<0.05);logistic regression analysis showed that age>70 years old and combined with LS were the risk factors of MCI in the community elderly(P<0.001).The MMSE total score was negatively correlated with the scores of physical pain,daily living activities,social activities,mental health status dimension in GLFS-25 and GLFS-25 total score(r=-0.214,-0.291,-0.266,-0.181,-0.329;P<0.001).Conclusion The incidence of LS and MCI in the community elderly is high,and LS and MCI are mutually influencing factors.

关 键 词：社区老年人 运动障碍综合征 运动功能 轻度认知障碍 认知功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]