本文選題：網(wǎng)絡(luò)調(diào)查 + 高血壓��； 參考：《重慶醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:調(diào)查重慶市老年人的癡呆患病情況,探討老年期癡呆的危險因素,研究高血壓及治療情況對老年期癡呆發(fā)病的影響,為老年期癡呆的預(yù)防提供參考依據(jù)。方法:通過網(wǎng)絡(luò)調(diào)查的方式,使用自制的老年人健康狀況網(wǎng)絡(luò)調(diào)查問卷對重慶市年齡≥65歲的老人進(jìn)行健康狀況調(diào)查,采用2?檢驗和非條件logistic回歸對結(jié)果進(jìn)行分析。結(jié)果:經(jīng)過嚴(yán)格篩選,共獲取有效問卷906份,其中高血壓患者432人,癡呆患者147人,高血壓伴癡呆患者99人;logistic多因素回歸分析顯示,相關(guān)因素包括年齡、教育水平、吸煙、生氣、腦部外傷、癲癇、高血壓、家族史,P值均小于0.05。對于高血壓患者,治療者癡呆的發(fā)病率明顯低于未治療者,二者差異具有統(tǒng)計學(xué)意義(P=0.0003);降壓藥物中,使用鈣通道阻滯劑和血管緊張素Ⅱ受體阻滯劑(ARB)的患者,癡呆發(fā)病率明顯低于未使用者,差異均具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:癡呆的危險因素有年齡、低教育水平、吸煙、生氣、腦部外傷、癲癇、高血壓、家族史;積極治療高血壓可有效預(yù)防癡呆的發(fā)病,降壓藥物鈣通道阻滯劑和血管緊張素Ⅱ受體阻滯劑的使用,均可作為預(yù)防癡呆的有效措施。
[Abstract]:Objective: to investigate the prevalence of dementia in the elderly in Chongqing, to explore the risk factors of senile dementia, to study the influence of hypertension and treatment on the onset of senile dementia, and to provide reference for the prevention of senile dementia. Methods: by the way of network investigation, the self-made questionnaire of the health status of the elderly was used to investigate the health status of those over 65 years old in Chongqing. The results were analyzed by test and non-conditional logistic regression. Results: through strict screening, 906 valid questionnaires were obtained, including 432 patients with hypertension, 147 patients with dementia and 99 patients with hypertension with dementia. Logistic regression analysis showed that the related factors included age, education level, smoking. Anger, brain trauma, epilepsy, hypertension, family history P < 0.05. For hypertensive patients, the incidence of dementia in the treatment group was significantly lower than that in the untreated group, and the difference was statistically significant. The incidence of dementia was significantly lower than that of non-users, and the difference was statistically significant (P 0.05). Conclusion: the risk factors of dementia are age, low education level, smoking, anger, brain trauma, epilepsy, hypertension and family history. Calcium channel blockers and angiotensin 鈪，

本文編號：1792731