基于网络调查的老年期痴呆危险因素的分析探讨

发布时间：2018-04-23 16:28

  本文选题：网络调查 + 高血压　； 参考：《重庆医科大学》2017年硕士论文

【摘要】：目的:调查重庆市老年人的痴呆患病情况,探讨老年期痴呆的危险因素,研究高血压及治疗情况对老年期痴呆发病的影响,为老年期痴呆的预防提供参考依据。方法:通过网络调查的方式,使用自制的老年人健康状况网络调查问卷对重庆市年龄≥65岁的老人进行健康状况调查,采用2?检验和非条件logistic回归对结果进行分析。结果:经过严格筛选,共获取有效问卷906份,其中高血压患者432人,痴呆患者147人,高血压伴痴呆患者99人;logistic多因素回归分析显示,相关因素包括年龄、教育水平、吸烟、生气、脑部外伤、癫痫、高血压、家族史,P值均小于0.05。对于高血压患者,治疗者痴呆的发病率明显低于未治疗者,二者差异具有统计学意义(P=0.0003);降压药物中,使用钙通道阻滞剂和血管紧张素Ⅱ受体阻滞剂(ARB)的患者,痴呆发病率明显低于未使用者,差异均具有统计学意义(P0.05)。结论:痴呆的危险因素有年龄、低教育水平、吸烟、生气、脑部外伤、癫痫、高血压、家族史;积极治疗高血压可有效预防痴呆的发病,降压药物钙通道阻滞剂和血管紧张素Ⅱ受体阻滞剂的使用,均可作为预防痴呆的有效措施。
[Abstract]:Objective: to investigate the prevalence of dementia in the elderly in Chongqing, to explore the risk factors of senile dementia, to study the influence of hypertension and treatment on the onset of senile dementia, and to provide reference for the prevention of senile dementia. Methods: by the way of network investigation, the self-made questionnaire of the health status of the elderly was used to investigate the health status of those over 65 years old in Chongqing. The results were analyzed by test and non-conditional logistic regression. Results: through strict screening, 906 valid questionnaires were obtained, including 432 patients with hypertension, 147 patients with dementia and 99 patients with hypertension with dementia. Logistic regression analysis showed that the related factors included age, education level, smoking. Anger, brain trauma, epilepsy, hypertension, family history P < 0.05. For hypertensive patients, the incidence of dementia in the treatment group was significantly lower than that in the untreated group, and the difference was statistically significant. The incidence of dementia was significantly lower than that of non-users, and the difference was statistically significant (P 0.05). Conclusion: the risk factors of dementia are age, low education level, smoking, anger, brain trauma, epilepsy, hypertension and family history. Calcium channel blockers and angiotensin 鈪，

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