探析老年原发性高血压病人衰弱综合征发生率及相关危险因素  

Incidence rate and risk factors of frailty syndrome in elderly patients with essential hypertension

作　　者：赵璨 刘姗姗 李净兵 王少颖 王莉迪 ZHAO Can;LIU Shan-shan;LI Jing-bing;WANG Shao-ying;WANG Li-di(Department of Cardiology,the Eighth People’s Hospital of Hebei Province,Shijiazhuang 050000,China;Department of Geriatrics,the Eighth People’s Hospital of Hebei Province,Shijiazhuang 050000,China;Department of Neurology,the Eighth People’s Hospital of Hebei Province,Shijiazhuang 050000,China)

机构地区：[1]河北省第八人民医院心内科,河北省石家庄市050000 [2]河北省第八人民医院老年科,河北省石家庄市050000 [3]河北省第八人民医院神经内科,河北省石家庄市050000

出　　处：《实用老年医学》2023年第2期147-150,共4页Practical Geriatrics

基　　金：2021年度河北省医学科学研究课题计划项目(20211611)。

摘　　要：目的探析老年原发性高血压病人衰弱综合征(FS)发生率及相关危险因素。方法选择2019年3月至2021年3月在河北省第八人民医院就诊的200例老年原发性高血压病人,根据Fried衰弱表型定义量表评定情况分为衰弱组和无衰弱组,分析老年原发性高血压病人FS发生率以及相关危险因素。结果本研究共纳入200例合格样本,其中87例老年原发性高血压病人符合FS标准,FS发生率为43.50%。2组在年龄、婚姻状态、文化程度、BMI、高血糖、高血脂、吸烟史、饮酒史、认知功能、抑郁状态、睡眠障碍方面差异有统计学意义(P<0.05)。Logistic回归分析显示,BMI异常、吸烟史、睡眠质量差、抑郁症状、高血糖和高血脂、认知功能障碍等是老年高血压发生FS的独立危险因素(P<0.05)。结论老年原发性高血压病人FS发生率较高,且与BMI、吸烟史、睡眠质量、抑郁症状、高血脂、高血压、认知功能等多种因素相关,应针对以上因素采取有效监测和干预,提高病人生活质量。Objective To investigate the incidence rate of frailty syndrome(FS)and the related risk factors in the elderly patients with essential hypertension(EH).Methods A total of 200 elderly patients with EH who were admitted to the Eighth People’s Hospital of Hebei Province from March 2019 to March 2021 were selected and divided into the frailty group(87 cases)and the non-frailty group(113 cases)according to the Fried Frailty Phenotype Definition Scale.The incidence rate of FS and its related risk factors in the elderly patients with EH were observed and analyzed.Results Of 200 patients,87 cases presented with FS,with an incidence rate of 43.50%.There were statistically significant differences in age,marital status,educational level,body mass index(BMI),hyperglycemia,hyperlipidemia,smoking history,drinking history,cognitive function,depression state and sleep disordeRbetween the two groups(P<0.05).Logistic regression analysis showed that abnormal BMI,smoking history,pooRsleep quality,depressive symptoms,hyperglycemia and hyperlipidemia and cognitive dysfunction were the independent risk factors of FS in the elderly EH patients(P<0.05).Conclusions The incidence rate of FS in the elderly patients with EH is high.Effective monitoring and intervention to the risk factors are important to improve the quality of life of the patients.

关 键 词：老年人 原发性高血压 衰弱综合征 发病率 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]