在老年患者中对平衡功能特征的定量评估与正静性低血压
Yao Cui1, Bo Liu1,2, Jian Zhou1
1Department of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China.
Geriatrics (Basel, Switzerland)
|October 27, 2023
概括
患有正静性低血压 (OH) 的老年人平衡较差,并且由于感官整合受损,更容易跌倒. 计算机化动态位图显示了OH组的显著平衡赤字.
科学领域:
- 老年学是指老年学的学科.
- 心血管健康 心血管健康
- 神经学 神经学
- 生物力学 生物力学
背景情况:
- 静止性低血压 (OH) 是老年人普遍存在的疾病,显著增加了跌倒风险.
- 有效的平衡维护依赖于复杂的监管系统,这可能会受到OH的损害.
- 计算机化动态位图 (CDP) 提供了一种定量方法来评估平衡功能.
研究的目的:
- 使用CDP量化评估诊断为OH的老年人的平衡指标.
- 为了比较带有和没有OH的老年人之间的平衡性能.
主要方法:
- 一组303名老年人被分为OH组 (n=91) 和非OH组 (n=212).
- 分析了关键因素,包括并发症,药物史和CDP衍生的平衡指标.
- 进行了后勤回归分析,以确定OH的独立预测因素.
主要成果:
- 在OH组表现出更高的慢性疾病 (例如,冠心病) 的流行率和跌倒的历史.
- 在OH组中,复合平衡 (SOT-COM),视力 (VIS),前庭 (VEST) 和方向控制 (DCL) 的得分显著降低.
- SOT-COM成为与OH相关的重要独立因子,显示出高诊断准确度 (AUC=0.833).
结论:
- 患有OH的老年人表现出受损的感官整合,导致平衡控制下降.
- 在OH患者中,这种平衡缺陷有助于增加跌倒风险.
- 由CDP衍生的SOT-COM是评估OH相关资产负债表损失的有价值指标.
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