文章摘要
杨蕾,李密斯,杨玉梅,等.医养结合机构内老年综合征的发生情况及分析[J].中国临床保健杂志,2025,28(4):520-522.
医养结合机构内老年综合征的发生情况及分析
The occurrence and analysis of geriatric syndrome in medical and elderly care institutions
投稿时间:2024-12-11  
DOI:10.3969/J.issn.1672-6790.2025.04.016
中文关键词: 老年综合征  综合评估  健康老龄化  衰弱  营养不良  老年人
英文关键词: Geriatrics syndrome  Comprehensive evaluation  Healthy aging  Frailty  Malnutrition  Aged
基金项目:大理白族自治州科技局重点研发计划项目(20232903B030003)
作者单位E-mail
杨蕾 大理白族自治州人民医院, 老年医学科,云南大理 671000 15125006797@163.com 
李密斯 大理白族自治州人民医院,神经内科三病区,云南大理 671000  
杨玉梅 大理白族自治州人民医院, 老年医学科,云南大理 671000  
胡学琴 大理白族自治州人民医院, 老年医学科,云南大理 671000  
黎伟娟 大理白族自治州人民医院, 老年医学科,云南大理 671000  
安杨欣 大理白族自治州人民医院, 老年医学科,云南大理 671000  
陈晓云 大理白族自治州人民医院, 老年医学科,云南大理 671000 13887253522@163.com 
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中文摘要:
      目的 分析医养结合机构内老年综合征的发生情况及特征。方法 回顾性分析2023年8月至11月云南省老年之家敬老院80例冠心病、高血压、脑血管疾病、糖尿病等患者的临床资料,排除疾病终末期患者、重度痴呆、重度失能及处于疾病急性期的患者。80例患者根据年龄分组,65~75岁组(Ⅰ组)15 例,>75~<86岁组(Ⅱ组)50 例,≥86 岁组(Ⅲ组)15 例。对3组患者进行老年综合评估,分析老年综合征发生情况及特征。结果 衰弱发生率为53.8%(43例)。衰弱的发生率Ⅲ组高于Ⅰ组和Ⅱ组(P=0.001)。Ⅲ组患者的营养不良发生率高于Ⅰ组和Ⅱ组,差异有统计学意义(P=0.015)。多重用药在Ⅰ组的发生率高达46.7%,而在Ⅱ组和Ⅲ组分别为30.0%和20.0%,但3组差异无统计学意义(P=0.078)。认知功能障碍在Ⅲ组的发生率为20.0%,高于Ⅰ组和Ⅱ组的6.7%和10.0%,但差异无统计学意义(P=0.089)。结论 衰弱和营养不良是常见的老年综合征,不同年龄段患者的老年综合征表现不同。
英文摘要:
      Objective To analyze the occurrence and characteristics of geriatric syndrome in medical and elderly care institutions.Methods From August to November 2023,80 patients with coronary heart disease,hypertension,cerebrovascular disease,diabetes and other diseases in Yunnan Elderly Home Nursing Home were selected,and the patients with terminal disease,severe dementia,severe disability and acute disease were excluded.80 patients were grouped according to age,with 15 patients in the 65-75 age group (Group Ⅰ),50 patients in the>75-<86 age group (Group Ⅱ),and 15 patients in the ≥ 86 age group (Group Ⅲ).All the patients were assessed comprehensively to analyze the occurrence and characteristics of geriatric syndrome.Results Among all the subjects,frailty was the most common geriatric syndrome,with an incidence rate of 53.8% (43 cases).The incidence of frailty was significantly higher in Group Ⅲ than that in Group Ⅰ and Group Ⅱ (P=0.001).The incidence of malnutrition in Group Ⅲ was significantly higher than that in Group Ⅰ and Group Ⅱ,and the difference was statistically significant (P=0.015).The incidence of multiple drug use was higher in group Ⅰ,reaching 46.7%,while it was 30.0% and 20.0% in groups Ⅱ and Ⅲ,respectively,but there was no statistically significant difference among the three groups (P=0.078).The incidence of cognitive dysfunction in Group Ⅲ was 20.0%,higher than the 6.7% and 10.0% in Groups Ⅰ and Ⅱ,but the difference was not statistically significant (P=0.089).Conclusions Frailty and malnutrition are the most common in the geriatric syndromes.The manifestations of geriatric syndromes vary among patients of different age groups.
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