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目的调查杭州市余杭区老年H型高血压伴衰弱的情况,分析疾病发生的相关危险因素。方法选取老年H型高血压患者200例作为研究对象,采用Hopkins/Fried衰弱量表与自行设计的问卷调查衰弱患病率,调查数据的统计分析均采用SPSS 13.0软件进行,采用单因素Logistic回归对衰弱相关危险因素进行分析,采用多因素Logistic回归分析衰弱患病的独立危险因素。结果 200例H型高血压患者中衰弱患者47例,患病率为23.5%。男性患病率29.27%,明显高于女性患病率18.27%,差异有统计学意义(χ2=6.024,P<0.05);单因素分析结果显示,衰弱与非衰弱H型高血压患者的性别、病程、经济状况、文化程度、家庭支持、系统治疗、合并症及衰弱家族史等因素差异均具有统计学意义(χ2分别为6.024,6.975,5.362,18.754,4.973,12.314,8.346,7.931,P<0.05);多因素非条件Logistic回归分析结果显示,H型高血压患者衰弱患病的独立危险因素为男性、病程长及文化程度低。结论老年H型高血压患者伴衰弱的患病率在杭州市余杭区较高,男性、病程长及文化程度低是H型高血压患者衰弱患病的独立危险因素,为降低疾病患病率,临床应采取综合措施进行干预。
Objective To investigate the elderly Hypertension with the weakness in Yuhang District of Hangzhou City and analyze the related risk factors. Methods A total of 200 elderly Hypertensive patients were selected as study subjects. Weak Hopkins / Fried scale and self-designed questionnaire were used to analyze the prevalence of depression. Statistical analysis of the survey data was performed using SPSS 13.0 software. Single-factor Logistic regression Weak related risk factors were analyzed using multivariate Logistic regression analysis of the risk of debilitating risk factors. Results Of the 200 patients with H-type hypertension, 47 patients were weakened with a prevalence of 23.5%. The prevalence of males was 29.27%, which was significantly higher than that of females (18.27%), the difference was statistically significant (χ2 = 6.024, P <0.05). The results of univariate analysis showed that the gender, The differences were statistically significant (χ2 = 6.024, 6.975, 5.362, 18.754, 4.973, 12.314, 8.346, 7.931, respectively, P < 0.05). The multivariate non-conditional logistic regression analysis showed that the independent risk factors for the debilitating disease in Hypertensive patients were male, longer duration and lower education level. Conclusions The prevalence of frailty in elderly patients with Hypertension is higher in Yuhang District of Hangzhou City. Men with longer duration of disease and lower education level are independent risk factors for debilitating Hypertension. To reduce the prevalence of Hypertension, Clinical should take comprehensive measures to intervene.