摘要
目的 探讨老年2型糖尿病患者跌倒的相关因素,找出跌倒风险的相关因素。方法 纳入2016年5月10日-2019年11月20日北京某三甲医院内分泌科住院的60岁以上的2型糖尿病患者共530例,根据过去1年是否有跌倒情况分为跌倒组和无跌倒组。测定空腹血糖、糖化血红蛋白、血脂、骨骼肌肌肉质量、握力、步速等。计算体质量指数与四肢骨骼肌肌肉质量指数。分析跌倒的影响因素。结果 跌倒组的ASMI、握力、步速、前白蛋白、血色素水平显著低于非跌倒组(P<0.05)。跌倒组女性比例、糖尿病视网膜病变患病率显著高于非跌倒组(分别为P<0.001)。多元Logistic回归分析显示糖尿病视网膜病变OR(95%CI):2.517(1.553-4.078)、低步速OR(95%CI):2.894(1.692-4.948)、前白蛋白OR(95%CI):0.996(0.992-0.999)为跌倒的独立影响因素。结论 糖尿病视网膜病变、低步速为老年T2DM患者跌倒的危险因素,前白蛋白为跌倒的保护因素。
Objectives To investigate the related factors for falls in old people with type 2 diabetes, and identify factors associated with fall risk. Methods A total of 530 patients with type 2 diabetes aged more than 60 years who were admitted to the department of endocrinology of a Three A and Tertiary Hospital were included in the study.Fasting blood glucose(FBG), glycosylated hemoglobin(HbA1C), blood lipid, skeletal muscle mass(ASM), grip strength, gait speed were measured. Body mass index(BMI) and skeletal muscle mass index(ASMI) were calculated. The influencing factors for falls were evaluated. Results ASMI, grip strength, gait speed, prealbumin and hemoglobin levels in the fall group were significantly lower than those in the non-fall group(P<0.05-P<0.001). The proportion of women and the prevalence of diabetic retinopathy were significantly higher than those in the non-fall group(P= 0.000, P= 0.001, respectively). Multiple Logistic regression analysis showed that diabetic retinopathy OR(95% CI):2.517(1.553-4.078), low gait speed OR(95% CI):2.894(1.692-4.948) and prealbumin level OR(95% CI):0.996(0.992-0.999) were independent influencing factors for falls. Conclusions Diabetic retinopathy and low gait speed were risk factors for falls in old people with type 2 diabetes, while prealbumin was a protective factor.
作者
孙丽娜
穆志静
赵蕾
韩青
贾克宝
修双玲
Sun Lina;Mu Zhijing;Zhao Lei;Han Qing;Jia Kebao;Xiu shuangling(Department of Endocrinology,Xuanwu Hospital of Capital Medical University,Beijing 100053,China不详)
出处
《中国病案》
2022年第8期99-102,共4页
Chinese Medical Record
基金
北京市属医院科研培育计划项目(PX2020034)。
