老年综合评估在大理白族地区老年多器官功能不全综合征中的临床应用价值分析  

Analysis of clinical value of comprehensive assessment of multiple organ dysfunction syndrome in the elderly of Bai nationality in Dali

作　　者：苏开莉 杨蕾 黎伟娟 胡学琴 闻海梅 沙艳梅 陈晓云 SU Kai-li;YANG Lei;LI Wei-juan(Department of Geriatrics,Dali Bai Autonomous Prefecture People's Hospital,Dali 671000,China)

机构地区：[1]大理白族自治州人民医院老年医学科,671000

出　　处：《中国实用医药》2023年第21期1-11,共11页China Practical Medicine

摘　　要：目的通过使用老年综合评估(CGA)技术,探讨中国大理白族地区不同年龄段老年多器官功能不全综合征(MODSE)患者的临床特点、老年综合征及危险因素。方法回顾性分析大理白族自治州人民医院老年病科收住的245例MODSE患者的临床资料,按年龄分为普通老年组(65~79岁,117例)与高龄老年组(≥80岁,128例)。使用CGA技术系统调查两组患者一般情况、共病情况及老年综合征情况,通过多因素Logistic回归分析高龄老年组MODSE的影响因素。结果高龄老年组中男性比例67.19%(86/128)、年龄(82.32±3.41)岁、C反应蛋白(CRP)(48.13±61.76)mg/L均显著高于普通老年组的49.57%(58/117)、(73.44±4.13)岁、(28.39±45.84)mg/L,红细胞计数(RBC)(4.04±0.78)×10^(12)/L、体质量指数(BMI)(20.50±7.53)kg/m^(2)低于普通老年组的(4.35±1.00)×10^(12)/L、(23.79±4.95)kg/m^(2),差异有统计学意义(P<0.05)。普通老年组慢性阻塞性肺疾病、心功能不全、脑血管疾病、骨质疏松患病率均显著低于高龄老年组,差异均有统计学意义(P<0.05)。两组基础疾病1~4种、5~7种、8~10种比例比较,差异无统计学意义(P>0.05)。普通老年组肺、心脏、肾、凝血系统受累比例低于高龄老年组,差异有统计学意义(P<0.05)。普通老年组器官受累数2个比例明显高于高龄老年组,差异有统计学意义(P<0.05)。普通老年组衰弱状态、肌少症、尿便障碍、吞咽障碍、视力障碍、听力障碍、压疮、睡眠障碍、跌倒风险、认知功能障碍患病率均显著低于高龄老年组,差异有统计学意义(P<0.05)。两组生活自理、轻度依赖、中度依赖及重度依赖比例比较,差异无统计学意义(P>0.05)。两组住院时间及住院费用比较,差异无统计学意义(P>0.05)。Logistic回归分析发现:器官功能障碍累及心脏、凝血系统,合并脑血管疾病、衰弱状态、肌少症、吞咽障碍、跌倒风险、压疮、认知功能障碍是高龄老年组MODSObjective To investigate the clinical characteristics,geriatric syndrome and risk factors of multiple organ dysfunction syndrome in the elderly(MODSE)of Bai nationality in Dali by using comprehensive geriatric assessment(CGA).Methods The clinical data of 245 patients diagnosed with MODSE admitted to the geriatrics department of Dali Bai Autonomous Prefecture People's Hospital were retrospectively analyzed,and they were divided into ordinary elderly group(65-79 years old,117 cases)and very elderly group(≥80 years old,128 cases)according to their age.CGA technology system was used to investigate the general situation,comorbidity and geriatric syndrome of the two groups of patients.Logistic regression analysis was used to analyze the influencing factors of MODSE in very elderly group.Results The very elderly group had proportion of males of 67.19%(86/128),age of(82.32±3.41)years and C-reactive protein of(48.13±61.76)mg/L,which were significantly higher than those of 49.57%(58/117),(73.44±4.13)years and(28.39±45.84)mg/L in the ordinary elderly group;the red blood cell count(RBC)of(4.04±0.78)×1012/L,body mass index(BMI)of(20.50±7.53)kg/m^(2) in the very elderly group were lower than those of(4.35±1.00)×1012/L and(23.79±4.95)kg/m^(2) in the ordinary elderly group;the difference were statistically significant(P<0.05).The prevalence rates of chronic obstructive pulmonary disease,heart dysfunction,cerebrovascular disease and osteoporosis in the ordinary elderly group were significantly lower than those in the very elderly group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the proportions of 1-4,5-7 and 8-10 basic diseases between the two groups(P>0.05).The proportions of lung,heart,kidney and coagulation system involvement in the ordinary elderly group was lower than those in the very elderly group,and the differences were statistically significant(P<0.05).The proportion of the 2 organs involvement in the ordinary elderly group was significantl

关 键 词：老年综合评估 老年多器官功能不全综合征 老年综合征 大理白族地区 

分 类 号：R592[医药卫生—老年医学]