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绵阳市60岁及以上老年人帕金森综合征现况及相关影响因素分析
引用本文:王娟,,郭洪菊,杨艳芳.绵阳市60岁及以上老年人帕金森综合征现况及相关影响因素分析[J].现代预防医学,2020,0(14):2638-2643.
作者姓名:王娟    郭洪菊  杨艳芳
作者单位:1. 四川大学华西公共卫生学院/四川大学华西第四医院,四川 成都610041;2. 绵阳市疾病预防控制中心,四川 绵阳 621000
摘    要:目的 了解绵阳市60岁及以上老年人帕金森综合征的流行现况,探讨其影响因素。方法 采用多阶段随机抽样,抽取4 000名绵阳市60岁以上城乡居民,采用χ2检验,非条件logistic回归模型计算OR值和95%CI。结果 最终调查3 996名老年人,平均年龄为(69.66±6.51)岁,其中男性1 824人(45.65%),女性2 172人(54.35%)。检出帕金森综合征303例,检出率为7.58%。女性(OR = 0.586),文化程度越高(小学OR = 0.464,初中及以上OR = 0.252),经常打牌或玩麻将(OR = 0.399),每天体育锻炼(OR = 0.592)是老年人帕金森综合征的保护因素。年龄大于80岁,居住在农村,职业为农民,患高血压,患脑卒中,存在睡眠问题,嗅觉有变化,有便秘均是老年人帕金森综合征的危险因素(OR值均1)。结论 帕金森综合征在老年人中很常见,患有高血压。脑卒中等疾病,存在嗅觉变化。经常便秘。睡眠障碍的农村老年人群应引起重点关注,建议老年人积极参加体育锻炼和社会活动。

关 键 词:老年人  帕金森综合征  现况调查  相关因素

Parkinsonism and its related influence factors in the elderly aged 60 and over in Mianyang City
WANG Juan,GUO Hong-ju,YANG Yan-fang.Parkinsonism and its related influence factors in the elderly aged 60 and over in Mianyang City[J].Modern Preventive Medicine,2020,0(14):2638-2643.
Authors:WANG Juan  GUO Hong-ju  YANG Yan-fang
Affiliation:*West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, Sichuan 610041, China
Abstract:To investigate the prevalence and distribution characteristics of Parkinsonism among the elderly aged 60 and above in Mianyang, and to explore the influential factors. Methods A multi-stage random sampling method was used to select 4000 urban and rural residents over 60 years old in Mianyang. χ2 test was used to calculate OR value and 95%CI by unconditional logistic regression model. Results Among the 3996 subjects, 1824 were males (45.65%), 2172 were females(54.35%), and the average age was (69.66±6.51) years old. The detection rate of Parkinsonism was 7.58% with 303 cases. In females (OR=0.586), the higher the education level (primary school OR= 0.464, junior high school OR= 0.252), frequent CARDS or mahjong (OR= 0.399), and daily physical exercise (OR=0.592) were protective factors for Parkinsonism among the elderly aged 60. Aging above 80 years old, living in rural areas, working as a farmer, suffering from hypertension, cerebral apoplexy, sleep problems, olfactory changes, and constipation were all risk factors for Parkinsonism among the elderly aged 60 (OR>1). Conclusion Parkinsonism is common in the elderly. We should pay more attention to rural elderly aged, people with hypertension, stroke and other diseases, olfaction changes, frequent constipation, and sleep disorders. It is suggested that the elderly should take an active part in physical exercises and social activities.
Keywords:Aged  Parkinsonism  Cross sectional study  Related factors
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