| 夏魁,朱纯儒,孙伟,魏希强,杨玉莲.老年慢性阻塞性肺病患者衰弱现状调查及危险因素分析[J].中国临床保健杂志,2019,22(2):220-223. |
| 老年慢性阻塞性肺病患者衰弱现状调查及危险因素分析 |
| The prevalence and risk factors of frailty syndrome in elderly patients with chronic obstructive pulmonary disease |
| 投稿时间：2018-10-08 |
| DOI：10.3969/J.issn.1672-6790.2019.02.020 |
| 中文关键词: 肺疾病,慢性阻塞性 蛋白质能量营养不良 患病率 危险因素 老年人 |
| 英文关键词: Pulmonary disease,chronic obstructive Protein-energy malnutrition Prevalence Risk factors Aged 〖FL |
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| 中文摘要: |
| 目的 了解老年慢性阻塞性肺疾病(COPD)患者衰弱现状,探讨其相关的危险因素。 方法 选取2016年1月至2018年6月淮北市人民医院诊治的稳定期老年COPD患者276例；采用老年综合评估方法对老年COPD患者的衰弱及老年综合征进行评估,并对老年COPD患者衰弱的危险因素进行分析。 结果 276例老年COPD患者中,衰弱及衰弱前期分别为85例、98例,患病率分别为30.8%及35.5%；衰弱组≥80岁、独居、疾病严重程度、共病、多重用药、轻度认知功能障碍、抑郁及营养不良的比例均高于非衰弱组；logistic多因素分析结果显示年龄≥80岁、COPD重度及以上、共病、多重用药、轻度认知功能障碍、焦虑状态、抑郁状态、营养不良为老年COPD患者衰弱的独立影响因素。 结论 老年COPD 患者衰弱患病率高,受老年综合征等多种因素影响；应尽早发现并及时干预。 |
| 英文摘要: |
| Objective To investigate the the prevalence and risk factors of frailty syndrome in elderly patients with chronic obstructive pulmonary disease (COPD). Methods A total of 276 elderly patients with COPD were selected from January 2016 to June 2018 in Huaibei people′s hospital.The frailty syndrome of the elderly patients with COPD was assess by comprehensive geriatric assessment,and and the risk factors were analyzed. Results Eighty five elderly patients had frailty syndrome and 98 elderly patients had prefrailty among 276 elderly COPD patients,the ratio of frailty syndrome and prefrailty were 30.8% and 35.5%,respectively.The rates of age≥80 years,severe and above,comorbidities,polypharmacy,mild cognitive impairment,depression,malnutrition in the frailty group were higher than those in the non-frailty group (all P＜0.05).Multivariate logistic regression analysis revealed that age≥80 years,severe and above,comorbid,polypharmacy,mild cognitive impairment,depression,malnutrition were independent risk factors of frailty. Conclusion The prevalence of frailty syndrome in the elderly patients with COPD is high.The frailty syndrome of elderly patients with COPD is influenced by many factors. |
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