1.上海中医药大学(上海 201203)
2.上海中医药大学附属曙光医院(上海 200021)
3.上海市中医药研究院骨伤科研究所(上海 200021)
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柴琼,徐喜瑞,郭海玲等.社区居住老年人跌倒风险及中医体质评估研究[J].上海中医药大学学报,2022,36(06):46-50.
CHAI Qiong,XU Xirui,GUO Hailing,et al.Study on fall risk and traditional Chinese medicine constitutional assessment of old people living in community[J].Academic Journal of Shanghai University of Traditional Chinese Medicine,2022,36(06):46-50.
柴琼,徐喜瑞,郭海玲等.社区居住老年人跌倒风险及中医体质评估研究[J].上海中医药大学学报,2022,36(06):46-50. DOI: 10.16306/j.1008-861x.2022.06.008.
CHAI Qiong,XU Xirui,GUO Hailing,et al.Study on fall risk and traditional Chinese medicine constitutional assessment of old people living in community[J].Academic Journal of Shanghai University of Traditional Chinese Medicine,2022,36(06):46-50. DOI: 10.16306/j.1008-861x.2022.06.008.
目的,2,通过评估社区居住老年人握力、步速、简易躯体能力与中医体质类型特点,了解社区居住老年人跌倒风险和中医体质的相关性,明确易跌倒体质特点,为健康干预提供参考,。,方法,2,选择上海浦东社区居住年龄在50岁以上的受试者,自愿签署知情同意书,观察握力、6 m步速、简易躯体能力(SPPB)及中医体质问卷调查等指标,分析不同性别、不同年龄段受试者的跌倒风险,并分析其与握力、6 m步速、简易躯体能力、中医体质的相关性。,结果,2,①本研究共纳入403名签署知情同意的受试者,其中男性92例,女性311例;男性平均握力(36.12±7.11)kg,女性平均握力(22.48±4.64)kg;男性平均6 m步速(1.15±0.21)m/s,女性平均6 m步速(1.10±0.20)m/s。②男性平均跌倒风险(6.53±3.85)岁,女性平均跌倒风险(6.13±3.79)岁;男性SPPB得分为(10.85±1.28)分,女性SPPB得分为(10.75±1.49)分,两组受试者跌倒风险和SPPB得分比较均无统计学差异(,P,>,0.05);体质类型中阳虚质出现频次最高,占体质类型的28.98%,其次为平和质(21.14%)、阴虚质、气郁质、气虚质、痰湿质、血瘀质、特禀质和湿热质;跌倒风险与年龄、5次坐起时间呈正相关,与握力、6 m步速、串联站立得分、SPPB得分均呈负相关。③跌倒风险与平和质呈负相关,与偏颇体质呈正相关。,结论,2,年龄是社区活动正常老年人跌倒风险增高的独立危险因素,属于偏颇体质的老年人群跌倒风险更高。
Objectives,2,By assessing the characteristics of grip strength, gait speed, short physical performance and traditional Chinese medicine (TCM) constitution of the elderly living in Pudong community of Shanghai, we can understand the correlation between fall risk and TCM constitution of the elderly living in the community, and clarify the characteristics of easy fall constituion, which can provide reference for health intervention.,Methods,2,The subjects who lived in the community and were over 50 years old were selected to voluntarily sign the informed consent form. Indicators of grip strength, 6 m pace, short physical performance battery (SPPB), and TCM physical questionnaire were observed. Fall risk of subjects of different genders and difference age groups was analyzed, and its correlation with grip strength, 6 m pace, short physical performance, and TCM constitution was analyzed.,Results,2,①A total of 403 subjects who signed informed consent form were included in this study, including 92 males and 311 females. The average grip strength of males was (36.12±7.11) kg, and the average grip strength of females was (22.48± 4.64) kg. The average 6m pace of males was (1.15±0.21) m/s, and the average 6m pace of females was (1.10±0.20) m/s. ②The average fall risk of males was (6.53±3.85) years, and the average fall risk of femals was (6.13±3.79) years. The male SPPB score was (10.85±1.28), and the female SPPB score was (10.75±1.49). There was no statistical difference between the two groups for fall risk and SPPB score. Among all the TCM constitutions, yang deficiency constitution showed the highest frequency, accounting for 28.98%, followed by balanced constitution (21.14%), yin deficiency constitution, qi stagnation constitution, qi deficiency constitution, phlegm dampness constitution, blood stasis constitution, inherited special constitution, and damp heat constitution. Fall risk was positively correlated with age and five times of sitting-up time; and negatively correlated with grip strength, 6m pace, tandem standing score, and SPPB score. ③Fall risk was negatively correlated with balanced constitution and positively correlated with biased constitutions.,Conclusion,2,Age is an independent risk factor for the increased risk of falls in the elderly with normal community activities, and the elderly with a biased constitution have higher risk of falls.
跌倒风险中医体质握力步速简易躯体能力
fall risktraditional Chinese medicine constitutiongrip strengthgait speedshort physical performance
滕艳华,马宁. 跌倒危险因素评估的研究进展[J]. 护士进修杂志, 2016, 31(19): 1748-1750.
刘娟,丁清清,周白瑜,等. 中国老年人肌少症诊疗专家共识(2021) [J]. 中华老年医学杂志,2021, 40(8): 943-952.
杜艳萍,洪维,唐雯菁,等. 上海社区体检老年人群跌倒现况及相关危险因素的分析[J]. 中华内分泌代谢杂志, 2016,32(10): 818-823.
RUSSELL M A, HILL K D, BLACKBERRY I, et al. The reliability and predictive accuracy of the falls risk for older people in the community assessment (FROP-Com) tool[J]. Age Ageing, 2008, 37(6): 634-639.
RUSSELL M A, HILL K D, DAY L M, et al. Development of the Falls Risk for Older People in the Community (FROP-Com) screening tool[J]. Age Ageing, 2009, 38(1): 40-46.
陈雪萍,沈文良,卢友梅,等. 老年人握力值现状调查[J]. 健康研究, 2013, 33(5): 331-334.
胡惠菊,韩静,唐启群,等. Morse跌倒评估量表与STEADI跌倒风险自评量表在养老机构老年人中的应用比较[J]. 护理学报, 2021, 28(19): 8-12.
刘彩霞,江婉明,陈碧贤,等. 四种跌倒风险评估量表在老年患者中的应用研究[J]. 中医临床研究, 2021, 13(3): 137-139.
陈大伟, 陈晋文, 徐巍, 等. 简易躯体能力测试在中国老年人群的信度和效度[J]. 中华保健医学杂志, 2011, 13(3): 233-236.
王琦. 9种基本中医体质类型的分类及其诊断表述依据[J]. 北京中医药大学学报, 2005,28(4): 1-8.
中华中医药学会. 中医体质分类与判定(ZYYXH/T157-2009)[J]. 世界中西医结合杂志, 2009, 4(4): 303-304.
王琦, 朱燕波, 薛禾生, 等. 中医体质量表的初步编制[J]. 中国临床康复, 2006(3): 12-14.
朱燕波, 王琦, 薛禾生, 等. 中医体质量表性能的初步评价[J]. 中国临床康复, 2006(3): 15-17.
刘四军,周成成,林秋姗,等.《中医体质分类与判定表》的简化研究[J]. 广州中医药大学学报, 2021, 38(8): 1734-1739.
柳璇. 《老年版中医体质分类与判定》量表研制与初步应用分析[D]. 北京:北京中医药大学, 2013.
王茉莉. 康复干预对骨质疏松性骨折患者跌倒的预防价值分析[J]. 中国现代药物应用, 2021, 15(22):248-250.
陈巧聪, 楼慧玲, 彭程, 等. 中老年人骨折风险与握力、步速、肌肉量的相关性[J].实用医学杂志, 2020, 36(1): 69-73.
王晶. 老年人体质与生存质量相关关系的研究[D]. 广州:广州中医药大学, 2008.
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