华南预防医学 ›› 2022, Vol. 48 ›› Issue (1): 19-22.doi: 10.12183/j.scjpm.2022.0019

• 论著 • 上一篇    下一篇

重庆市大足区老年人群帕金森综合征现状及影响因素研究

王悦蒙, 杨芃   

  1. 重庆市大足区人民医院,重庆 402360
  • 收稿日期:2021-08-04 发布日期:2022-02-23
  • 通讯作者: 杨芃,E-mail:1074294963@qq.com
  • 作者简介:王悦蒙(1987—),女,大学本科,主管护师,研究方向:护理研究

Current status and influencing factors of Parkinson syndrome in the elderly in Dazu District, Chongqing

WANG Yue-meng, YANG Peng   

  1. People's Hospital of Dazu District, Chongqing 402360, China
  • Received:2021-08-04 Published:2022-02-23

摘要: 目的 探析重庆市大足区老年人群帕金森综合征现况及相关影响因素。方法 于2019年7月至2021年6月采用方便抽样方法招募重庆市大足区社区≥60岁老年人,采用帕金森病筛查量表(PDSI)进行老年人帕金森综合征患病筛查,评估为运动障碍者进一步由神经科专业医师进行确诊。采用描述流行病学分析方法对结果进行分析,并采用单、多因素分析方法对帕金森综合征影响因素进行分析。结果 本研究中配合完成问卷及PDSI量表筛查的重庆大足区老年人共4 628名。346例检出帕金森综合征,患病率为7.48%。多因素Logistic回归分析结果显示,年龄每增加10岁(OR=1.702、2.540)、高血压(OR=2.208)、糖尿病(OR=2.251)、脑卒中(OR=1.436)、有睡眠问题(OR=1.997)的老年人患有帕金森综合征的可能性均较高。经常饮茶(OR=0.437)、参与扑克、麻将等娱乐(OR=0.671),体育锻炼(OR=0.569)的老年人患有帕金森综合征的可能性较低。结论 重庆市大足区≥60岁老年人帕金森综合征患病率较高,受年龄、糖尿病、高血压、脑卒中、睡眠障碍、饮茶、体育锻炼、参与扑克麻将娱乐活动等诸多因素影响,建议60岁及以上老年人适度、科学锻炼,维持良好的休闲娱乐活动,预防帕金森综合征的发生。

关键词: 老年人, 帕金森综合征, 患病情况, 影响因素

Abstract: Objective To analyze the current status of Parkinson syndrome and its related influencing factors in the elderly in Dazu District, Chongqing. Methods From July 2019 to June 2021, the elderly ≥ 60 years old in community of Dazu District, Chongqing were recruited by convenient sampling method. The Parkinson Disease Symptom Inventory (PDSI) scale was used to screen the elderly for Parkinson syndrome. Those assessed as dyskinesia were further diagnosed by neurologists. The results were analyzed by descriptive epidemiological analysis method, and the influencing factors of Parkinson syndrome were analyzed by univariate and multivariate analysis methods. Results In this study, 4 628 elderly people in Dazu District, Chongqing were screened with questionnaire and PDSI scale. Parkinson syndrome was detected in 346 cases, the prevalence rate was 7.48%. Multivariate Logistic regression analysis showed that for every 10 years of age increase (OR=1.702, 2.540), with hypertension (OR=2.208), diabetes (OR=2.251), stroke (OR=1.436), and sleep disorders (OR= 1.997), the elderly people were more likely to suffer from Parkinson syndrome. Elderly people who drunk tea regularly (OR=0.437), participated in entertainment such as poker, mahjong (OR=0.671), and exercise (OR=0.569) were less likely to suffer from Parkinson syndrome. Conclusion The prevalence of Parkinson syndrome is high in the elderly ≥ 60 years old. It can be affected by many risk factors such as age, diabetes, hypertension, stroke, sleep disorders, drinking tea, physical exercise, and participation in poker, mahjong and other entertainment. It is recommended that the elderly ≥ 60 years old exercise moderately and scientifically, maintain good leisure and recreational activities, and prevent the occurrence of Parkinson syndrome.

Key words: Elderly, Parkinson syndrome, Prevalence, Influencing factor

中图分类号: 

  • R195.4