| 张炜,张晓颖,王丽娜,林萍,屈小伶,李媛媛.老年2型糖尿病患者双重任务行走步态特征与跌倒风险的相关性[J].中国临床保健杂志,2023,26(4):504-507. |
| 老年2型糖尿病患者双重任务行走步态特征与跌倒风险的相关性 |
| Correlation between dual-task walking gait characteristics and fall risk in elderly patients with type 2 diabetes mellitus |
| 投稿时间：2023-06-02 |
| DOI：10.3969/J.issn.1672-6790.2023.04.015 |
| 中文关键词: 糖尿病,2型 步态分析 意外跌倒 老年人 |
| 英文关键词: Diabetes mellitus,type 2 Gait analysis Accidental falls Aged 〖FL |
| 基金项目:北京市医院管理中心科研项目(ZYLX202102) |
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| 中文摘要: |
| 目的 探讨老年2型糖尿病(T2DM)患者双重任务行走步态特征与跌倒风险的相关性。方法 选取2020年6月至2021年6月首都医科大学附属北京友谊医院收治的160例老年T2DM患者作为研究对象,采用Morse跌倒风险评估量表评估所有患者跌倒风险,并比较不同跌倒风险患者双重任务行走步态特征,采用Spearman相关性分析老年T2DM患者双重任务行走步态特征与跌倒风险的相关性。结果 本研究的160例老年T2DM患者中,低跌倒风险患者39例(24.38%),中风险患者96例(60.00%),高风险患者25例(15.62%)；高风险组患者步长、步频、步速均低于中风险组及低风险组,跨步时间、跨步时间变异性均高于中风险组及低风险组,差异有统计学意义(P＜0.05)；中风险组步长、步频、步速均低于低风险组,跨步时间、跨步时间变异性均高于低风险组,差异有统计学意义(P＜0.05)；Spearman相关性分析结果显示,步长、步频、步速均与老年T2DM患者跌倒风险呈负相关,跨步时间、跨步时间变异性均与老年T2DM患者跌倒风险呈正相关(P＜0.05)。结论 多数老年T2DM患者存在跌倒风险,高跌倒风险患者双重任务行走时步态性能更差,临床需重视老年T2DM患者的步态评估,以预防跌倒。 |
| 英文摘要: |
| Objective To explore the correlation between dual-task walking gait characteristics and fall risk in elderly patients with type 2 diabetes mellitus (T2DM).Methods A total of 160 elderly patients with T2DM admitted to Beijing Friendship Hospital Affiliated to Capital Medical University were enrolled as the research objects between June 2020 and June 2021.The fall risk was assessed by Morse Fall Risk Assessment Scale.The dual-task walking gait characteristics in patients with different fall risks were compared.The correlation between dual-task walking gait characteristics and fall risk in elderly T2DM patients was analyzed by Spearman Correlation coefficients.Results Among the 160 elderly patients with T2DM,there were 39 cases (24.38%) low fall risk,96 cases (60.00%) with medium risk and 25 cases (15.62%) with high risk.The stride length,stride frequency and stride speed in high-risk group was lower than that in medium-risk group and low-risk group,while stride time and variability of stride time were higher than those in medium-risk group and low-risk group (P<0.05).The stride length,stride frequency and stride speed in medium-risk group were lower than those in low-risk group,stride time and variability of stride time were higher than those in low-risk group (P<0.05).The results of Spearman correlation analysis showed that stride length,stride frequency and stride speed were negatively correlated with fall risk,while stride time and variability of stride time were positively correlated with it (P<0.05).Conclusions There is fall risk in most elderly patients with T2DM.The gait performance of dual-task walking test is worse in patients with high fall risk.Clinically,attentions should be paid to gait evaluation to prevent and reduce falls in elderly patients with T2DM. |
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