论文部分内容阅读
目的对高血压病合并多种慢性疾病的老年患者进行老年综合评估(comprehensive geriatric assessment,CGA)。方法采用老年综合评估量化表,对2006年3月-2009年9月确诊的高血压及非高血压患者进行全面的评估,通过t检验、秩和检验及方差分析分别探讨其整体功能状态及生活质量差异。结果单纯高血压病老年患者在日常生活能力、认知、营养状态、睡眠、步态及平衡功能等方面与非高血压对照组人群比较有统计学意义(P<0.05);高血压合并一项及两项其他慢性疾病(2型糖尿病、冠心病)患者在日常生活能力、睡眠、抑郁方面与非高血压对照组比较亦有统计学意义。结论高血压病患者机体功能和生活质量显著降低,合并其他慢性疾病可以使生活质量进一步下降。
Objective To evaluate the comprehensive geriatric assessment (CGA) in elderly patients with hypertension and various chronic diseases. Methods A comprehensive evaluation scale of elderly was used to evaluate the patients with hypertension and nonhypertension diagnosed from March 2006 to September 2009. T-test, rank sum test and ANOVA were used to evaluate the overall function and life status Quality difference. Results Compared with non-hypertensive control group, elderly hypertensive patients had statistically significant (P <0.05) in daily living ability, cognition, nutritional status, sleep, gait and balance function, And two other chronic diseases (type 2 diabetes mellitus and coronary heart disease) were also statistically significant compared with non-hypertension control group in daily living ability, sleep and depression. Conclusion The body function and quality of life in patients with essential hypertension are significantly reduced, and the combination of other chronic diseases can further deteriorate the quality of life.