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控制血压血糖预防老年痴呆前瞻性观察研究▲
A prospective cohort study on controlling blood pressure and blood sugar in the prevention of senile dementia

内科 201606期 页码:823-824+856

作者机构:广东广州市天河区石牌街社区卫生服务中心,广州市510630

基金信息:▲基金项目:广州市天河区科技和信息化局科研项目(2013KW011)

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2016.06.02

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨监控血压、血糖预防老年痴呆发生的临床效果。方法选择120例行健康体检的老年人作为研究对象,将其随机分成观察组和对照组,每组60例,对照组老年人采用常规措施预防老年痴呆,观察组老年人在采用常规措施的基础上对患者血压、血糖进行监控。随访2年,检测比较两组老年人空腹血糖、餐后2h血糖、糖化血红蛋白、血压水平的变化以及老年性痴呆(AD)患病率。结果观察组老年人空腹血糖、餐后2h血糖、糖化血红蛋白、血压水平均低于对照组(P<0.05);观察组老年人AD患病率低于对照组(P<0.05)。结论对老年人进行血压、血糖监控,可有效控制他们的血压、血糖水平,对预防老年痴呆的发生具有良好的效果。
ObjectiveTo investigate the effect of controlling blood pressure and blood sugar on the prevention of senile dementia. MethodsA total of 120 cases elderly people who had health examination were randomly divided into observation group and control group, with 60 cases in each group, the control group received conventional measures to prevent senile dementia, while the observation was given controlling blood pressure and blood sugar on the basis of conventional measures. Fasting blood-glucose, two hours postprandial blood glucose, glycosylated hemoglobin, blood pressure and the morbidity of AD were compared between two groups after followed up for 2 years. ResultsThe levels of fasting blood glucose, two hours postprandial blood glucose, glycosylated hemoglobin and blood pressure of the observation group were significantly lower than those of the control group (P<0.05); the morbidity of AD in the observation group was significantly lower than that of the control group (P<0.05). ConclusionsMonitor blood pressure and blood glucose in the elderly people can control the levels of blood pressure and blood glucose, which can effectively prevent the occurrence of senile dementia.

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