≥80岁老年人多重用药现况及影响因素分析

发布时间：2018-09-02 07:27

【摘要】：目的探讨≥80岁老年人多重用药患病情况并探讨其主要影响因素。方法于2012年5月—2014年12月采用横断面调查对北京市全部军队干休所老年人进行问卷调查,筛选其中≥80岁且数据完整老年人信息进行分析。结果共有5 530名老年人纳入本研究;年龄在80~104岁;男性和文化程度较低者占比较高;现在吸烟(2.7%,151人)、现在饮酒(9.7%,537人)比例较低,80.7%(4 464人)老年人经常进行体育锻炼;仅有7.9%(439人)未服用任何药物;人均服药种类数量高达(7.5±4.4)种;多重用药的患病率高达64.8%(3 582人),男性高于女性(P0.001),且随年龄的增加而逐渐递增(χ_(趋势)~2=52.649,P0.001);年龄、现在吸烟、慢性病数量等均是老年人多重用药危险因素;慢性病数量每增加1种,多重用药的风险是原来的1.30倍(95%CI=1.26~1.34);经常体育锻炼者是老年人多重用药保护因素。结论≥80岁老年人多重用药情况严重,生活方式、慢性病数量等是影响多重用药的重要因素。
[Abstract]:Objective To investigate the prevalence of multiple drug use among the elderly aged (>80 years) and explore the main influencing factors. Methods A cross-sectional survey was conducted among the elderly in all military cadre rest centers in Beijing from May 2012 to December 2014. In this study, 80.7% (4 464) of the elderly often took physical exercise; only 7.9% (439) did not take any drugs; the number of drugs per capita was as high as (7.5 4.4); the prevalence of multiple drugs was as high as that of multiple drugs. 64.8% (3 582), male higher than female (P 0.001), and gradually increased with age (_ (trend) ~ 2 = 52.649, P 0.001); age, smoking, the number of chronic diseases and so on are multiple drug risk factors for the elderly; each increase in the number of chronic diseases, the risk of multiple drug use is 1.30 times higher than the original (95% CI = 1.26 ~ 1.34); regular physical exercise is 1. Conclusion Severe multiple drug use, life style and the number of chronic diseases are the important factors affecting multiple drug use in the elderly over 80 years old.
【作者单位】：中国人民解放军总医院老年医学研究所衰老与相关疾病研究北京市重点实验室;总后机关第三门诊部;中国人民解放军第三零七医院检验科;
【基金】：全军“十二五”面上课题(CWS12J139) 军事医学创新专项(13CXZ029)
【分类号】：R95

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