社区居住老年人跌倒风险及中医体质评估研究  

Study on fall risk and traditional Chinese medicine constitutional assessment of old people living in community

作　　者：柴琼 徐喜瑞 郭海玲[2,3] 赵咏芳[1,2,3] CHAI Qiong;XU Xirui;GUO Hailing;ZHAO Yongfang(Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China;Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200021,China;Institute of Traumatology&Orthopedics,Shanghai Academy of Traditional Chinese Medicine,Shanghai 200021,China)

机构地区：[1]上海中医药大学,上海201203 [2]上海中医药大学附属曙光医院,上海200021 [3]上海市中医药研究院骨伤科研究所,上海200021

出　　处：《上海中医药大学学报》2022年第6期46-50,共5页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(82174404,81774342);上海市科委“科技创新行动计划”医学创新研究专项(21Y31920200);上海市卫健委科研项目(20194Y0016);上海申康“促进市级医院临床技能与临床创新三年行动计划”项目(SHDC2020CR3090B);上海中医健康服务协同创新中心开放项目(ZYJKFW201811005);上海市慢性筋骨病临床医学研究中心建设项目(20MC1920600);上海市浦东新区重点学科群“老年骨骼疾病防治”项目。

摘　　要：目的:通过评估社区居住老年人握力、步速、简易躯体能力与中医体质类型特点,了解社区居住老年人跌倒风险和中医体质的相关性,明确易跌倒体质特点,为健康干预提供参考。方法:选择上海浦东社区居住年龄在50岁以上的受试者,自愿签署知情同意书,观察握力、6 m步速、简易躯体能力(SPPB)及中医体质问卷调查等指标,分析不同性别、不同年龄段受试者的跌倒风险,并分析其与握力、6 m步速、简易躯体能力、中医体质的相关性。结果:①本研究共纳入403名签署知情同意的受试者,其中男性92例,女性311例;男性平均握力(36.12±7.11)kg,女性平均握力(22.48±4.64)kg;男性平均6 m步速(1.15±0.21)m/s,女性平均6 m步速(1.10±0.20)m/s。②男性平均跌倒风险(6.53±3.85)岁,女性平均跌倒风险(6.13±3.79)岁;男性SPPB得分为(10.85±1.28)分,女性SPPB得分为(10.75±1.49)分,两组受试者跌倒风险和SPPB得分比较均无统计学差异(P>0.05);体质类型中阳虚质出现频次最高,占体质类型的28.98%,其次为平和质(21.14%)、阴虚质、气郁质、气虚质、痰湿质、血瘀质、特禀质和湿热质;跌倒风险与年龄、5次坐起时间呈正相关,与握力、6 m步速、串联站立得分、SPPB得分均呈负相关。③跌倒风险与平和质呈负相关,与偏颇体质呈正相关。结论:年龄是社区活动正常老年人跌倒风险增高的独立危险因素,属于偏颇体质的老年人群跌倒风险更高。Objectives:By assessing the characteristics of grip strength,gait speed,short physical performance and traditional Chinese medicine(TCM)constitution of the elderly living in Pudong community of Shanghai,we can understand the correlation between fall risk and TCM constitution of the elderly living in the community,and clarify the characteristics of easy fall constituion,which can provide reference for health intervention.Methods:The subjects who lived in the community and were over 50 years old were selected to voluntarily sign the informed consent form. Indicators of grip strength,6 m pace,short physical performance battery(SPPB),and TCM physical questionnaire were observed. Fall risk of subjects of different genders and difference age groups was analyzed,and its correlation with grip strength,6 m pace,short physical performance,and TCM constitution was analyzed.Results:①A total of 403 subjects who signed informed consent form were included in this study,including 92 males and 311 females. The average grip strength of males was(36.12±7.11)kg,and the average grip strength of females was(22.48± 4.64)kg. The average 6m pace of males was(1.15±0.21)m/s,and the average 6m pace of females was(1.10±0.20)m/s.②The average fall risk of males was(6.53±3.85)years,and the average fall risk of femals was(6.13±3.79)years. The male SPPB score was(10.85±1.28),and the female SPPB score was(10.75±1.49). There was no statistical difference between the two groups for fall risk and SPPB score. Among all the TCM constitutions,yang deficiency constitution showed the highest frequency,accounting for 28.98%,followed by balanced constitution(21.14%),yin deficiency constitution,qi stagnation constitution,qi deficiency constitution,phlegm dampness constitution,blood stasis constitution,inherited special constitution,and damp heat constitution. Fall risk was positively correlated with age and five times of sitting-up time;and negatively correlated with grip strength,6m pace,tandem standing score,and SPPB score.③Fall risk was nega

关 键 词：跌倒风险 中医体质 握力 步速 简易躯体能力 

分 类 号：R592[医药卫生—老年医学]