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中国全科医学 ›› 2018, Vol. 21 ›› Issue (13): 1564-1567.DOI: 10.3969/j.issn.1007-9572.2018.13.011

所属专题： 内分泌代谢性疾病最新文章合辑； 跌倒最新文章合辑

• 专题研究 • 上一篇    下一篇

老年2型糖尿病患者害怕跌倒对跨步时间变异性的影响研究

徐忠梅，于卫华*，吴梦余   

  1. 230061 安徽省合肥市，安徽医科大学第三附属医院
    *通信作者：于卫华，副教授，硕士生导师；E-mail：ywh-zr@tom.com
  • 出版日期:2018-05-05 发布日期:2018-05-05

The Relationship between Stride Time Variability and Fear of Falling in Elderly Patients with Type 2 Diabetes　

  1. The Third Affiliated Hospital of Anhui Medical University，Hefei 230061，China
    *Corresponding author：YU Wei-hua，Associate professor，Master supervisor；E-mail：ywh-zr@tom.com
  • Published:2018-05-05 Online:2018-05-05

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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。

关键词: 糖尿病, 2型, 害怕跌倒, 步态变异性, 老年人

Abstract: 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.

Key words: Diabetes mellitus, type 2；Fear of falling；Gait variability；Aged

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