某部离退休干部肌少症患病情况及生命质量影响因素

发布时间：2018-01-01 04:28

本文关键词：某部离退休干部肌少症患病情况及生命质量影响因素　出处：《中华骨质疏松和骨矿盐疾病杂志》2016年03期 　论文类型：期刊论文

【摘要】：目的研究军队某部离退休干部肌少症患病情况及健康相关生命质量(health related quality of life,HRQOL)评分的影响因素。方法通过检测握力、步速、相对四肢骨骼肌质量(relative appendicular skeletal muscle mass,RASM)诊断肌少症,使用生活质量评价量表(short form 36 questionnaire,SF-36)测量HRQOL得分,并对离退休干部的一般状况进行统计,同时使用单因素方差分析及多元逐步线性回归统计对HRQOL的影响因素进行分析。结果某部离退休干部肌少症患病率为27.8%,且肌少症患者HRQOL得分低于未患肌少症者(t=2.19,P=0.00)。不同肌力下降病程、年龄、食欲对HRQOL得分造成差异(F=4.51,P=0.00;F=4.22,P=0.00;F=3.97,P=0.01);知晓肌少症防治知识、家庭关系和睦、离异或丧偶、锻炼、预防和治疗也会影响HRQOL得分(F=4.06,P=0.00;F=3.89,P=0.01;F=4.45,P=0.00;F=4.15,P=0.00;F=4.28,P=0.00)。影响HRQOL评分的6个最主要因素依次为:预防和治疗、锻炼、肌力下降病程、年龄、食欲、离异或丧偶(标准回归系数分别为0.55,0.44,-0.37,-0.33,0.29,-0.21)。结论肌少症降低离退休干部HRQOL,应加大对年龄偏大、2年以上病程、离异或丧偶离退休干部的关注。积极预防和治疗、宣传肌少症防治知识,协助患者营造良好的家庭氛围,鼓励离退休干部多运动锻炼,注意膳食营养搭配,均可显著改善离退休干部的HRQOL评分。
[Abstract]:Objective to study the prevalence of myasthenia and health related quality of life in retired military cadres. Methods grip strength and step speed were measured. Relative appendicular skeletal muscle mass (RASM) was used to diagnose hypomyopathy. The HRQOL score was measured with short form 36 questionnaire SF-36. And the general situation of retired cadres to carry on the statistics. At the same time, univariate ANOVA and multivariate stepwise linear regression were used to analyze the influencing factors of HRQOL. Results the prevalence rate of myasthenia in a retired cadre was 27.8%. The HRQOL score of the patients with hypometriosis was lower than that of the patients without hypothyroidism (P < 2.19). The duration and age of the patients with hypotonia were lower than that of the patients without hypothyroidism. Appetite caused a difference in HRQOL scores. FG 4.22, P0. 00. Fimbria 3.97 (P < 0.01); Knowledge of prevention and treatment of hypomyopathy, harmonious family relations, divorce or widowhood, exercise, prevention and treatment also affected the HRQOL score of 4.06% P0. 00. Fimbria 3.89 (P < 0.01); FG4. 45, P0. 00. FV 4.15m Pu 0.00; The main factors influencing HRQOL score were: prevention and treatment, exercise, course of decline of muscle strength, age and appetite. The standard regression coefficients of divorce or widowhood were 0.55 ~ 0.44 ~ 0.37 ~ 0.33 ~ 0.29 ~ 0.21 ~ 0.21 respectively. Conclusion the HRQOL of retired cadres is reduced by hypomyopathy. We should pay more attention to the older, more than 2 years course of disease, divorced or widowed retired cadres, actively prevent and treat, promote the prevention and treatment of myasthenia knowledge, help patients to create a good family atmosphere. To encourage retired cadres to exercise more and pay attention to dietary nutrition can significantly improve the HRQOL score of retired cadres.
【作者单位】：第三军医大学大坪医院野战外科研究所健康管理科;
【基金】：解放军总后勤部卫生部保健专项科研课题(14BJZ53)
【分类号】：R828
【正文快照】： 肌少症,是由于骨骼肌量持续流失,导致功能与强度不断降低而引起的综合征,常见于老年人,伴随乏力、内分泌代谢紊乱、易劳累和骨折等症状[1]。肥胖、糖尿病、生长激素缺乏、性腺功能减退等内分泌相关疾病都可引起肌肉减少,多伴发骨代谢病。随着肌肉的萎缩与老化,导致骨骼肌质量

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