摘要
目的探讨老年2型糖尿病患者害怕跌倒对跨步时间变异性(STV)的影响。方法选取2016年7—12月安徽医科大学第三附属医院内分泌科收治的老年2型糖尿病患者204例。比较不同性别、年龄、文化程度、居住状态、月收入水平、跌倒史(过去1年内)、是否害怕跌倒患者的STV;采用Spearman秩相关分析老年2型糖尿病患者常速行走STV与简易精神状态检查量表(MMSE)评分、步速及步长的相关性;采用多元线性逐步回归分析探讨老年2型糖尿病患者STV的影响因素。结果不同性别、年龄、文化程度、居住状态、月收入水平、跌倒史患者的STV比较,差异无统计学意义(P>0.05);是否害怕跌倒患者的STV比较,差异有统计学意义(P<0.05),且害怕跌倒者为104例(51.0%)。Spearman秩相关分析结果显示,老年2型糖尿病患者常速行走STV与步速、步长呈负相关(rs值分别为-0.333、-0.253,P<0.001);与MMSE评分无相关关系(rs=-0.097,P>0.05)。多元线性逐步回归分析结果显示,步速、是否害怕跌倒是老年2型糖尿病患者STV的影响因素(P<0.05)。结论老年2型糖尿病患者害怕跌倒发生率较高,害怕跌倒及步速较慢是老年2型糖尿病患者STV的影响因素。
Objective To investigatethe effect of fear of falling（FOF） on stride time variability（STV） in elderly patients with type 2 diabetes.Methods A total of 204 elderly patients with type 2 diabetes were enrolled from the Department of Endocrinology of the Third Affiliated Hospital of Anhui Medical University between July and December 2016.The STV was compared amongpatients of different gender,age,education level,living status,monthly income,fall history,and FOF.The correlation between STV at a normal walking speed and MMSE score,pace speed,and step length in elderly patients with type 2 diabetes was analyzed using the Spearman rank correlation.Multivariate linear regression was used to analyze the factors which influence STV in the patients.Results There was no significant difference in the STV among patients of different gender,age,education level,living status,monthly income level,and fall history（P〈0.05）.There were 104 patients（51.0%） with a FOF;the STV in patients with a FOF was significantly different from the STV in patients without a FOF（P〈0.05）.Spearman rank correlation analysis showed that the STV in patients was negatively correlated with pace speed and step length（rs=-0.333,-0.253;P〈0.001）,and was not correlated with MMSE score（rs=-0.097,P〈0.05）.Multivariate linear regression analysis showed that pace and a FOF influenced the STV in elderly patients with type 2 diabetes（P〈0.05）.Conclusion Elderly patients with type 2 diabetes are more likely to have a FOF.A FOF and slow pace speedwere shown to influence the STV in these patients.
作者
徐忠梅
于卫华
吴梦余
XUZhong-mei,YU Wei-hua,WU Meng-yu(The Third Affiliated Hospital of Anhui Medical University,Hefei 230061,Chin)
出处
《中国全科医学》
CAS
北大核心
2018年第13期1564-1567,共4页
Chinese General Practice
关键词
糖尿病
2型
害怕跌倒
步态变异性
老年人
Diabetes mellitus
type 2
Fear of falling
Gait variability
Aged
