CAJ | 학술논문

目的评价卒中对北京地区老年人预期寿命(LE)、健康预期寿命(ALE)和不健康预期寿命(IALE)的影响,以及上述各项预期寿命指标从1992-1997年到2000-2004年的变化趋势.方法采用纵向研究方法对北京市城区(宣武)、近郊区(大兴)和远郊区(怀柔)有代表性老年人群(3257例)进行12年追踪,调查其健康和存活状况.采用WHO的基本生活能力评估量表(ADL),评估老年人躯体功能健康状况及变化,采用SAS分析比较1992-1997年和2000-2004年2个时间段的LE、ALE和IALE变化.结果各年龄卒中组老年人的LE和ALE均低于非卒中组老年人,IALE则高于非卒中组.基线健康状态是ALE的重要决定因素--基线状态为健康的卒中组老年人,其ALE低于非卒中老年人,但是ALE长于IALE,且卒中组与非卒中组的lALE无差异;而基线不健康的卒中老年人ALE大幅度减少,LALE超出ALE.城市卒中组老年人的LE和ALE均高于农村,而LALE低于农村.到2000-2004年间,无论城乡,是否患卒中,基线调查时是否处于健康状态,LE均有所增加,其中AEL的增加幅度高于IALE,基线不健康的卒中组老年人的ALE增加幅度最大.结论卒中减低老年人生命数量与质量,对于农村老年卒中患者更为明显.从1992-1997年到2000-2004年期间,北京地区无论是城市还是农村,卒中老年人的LE和ALE都有所延长,提示其生命数量和质量得到改善.
목적 평개졸중대북경지구노년인예기수명(LE)、건강예기수명(ALE)화불건강예기수명(IALE)적영향,이급상술각항예기수명지표종1992-1997년도2000-2004년적변화추세.방법 채용종향연구방법대북경시성구(선무)、근교구(대흥)화원교구(부유)유대표성노년인군(3257례)진행12년추종,조사기건강화존활상황.채용WHO적기본생활능력평고량표(ADL),평고노년인구체공능건강상황급변화,채용SAS분석비교1992-1997년화2000-2004년2개시간단적LE、ALE화IALE변화.결과 각년령졸중조노년인적LE화ALE균저우비졸중조노년인,IALE칙고우비졸중조.기선건강상태시ALE적중요결정인소--기선상태위건강적졸중조노년인,기ALE저우비졸중노년인,단시ALE장우IALE,차졸중조여비졸중조적lALE무차이;이기선불건강적졸중노년인ALE대폭도감소,LALE초출ALE.성시졸중조노년인적LE화ALE균고우농촌,이LALE저우농촌.도2000-2004년간,무론성향,시부환졸중,기선조사시시부처우건강상태,LE균유소증가,기중AEL적증가폭도고우IALE,기선불건강적졸중조노년인적ALE증가폭도최대.결론 졸중감저노년인생명수량여질량,대우농촌노년졸중환자경위명현.종1992-1997년도2000-2004년기간,북경지구무론시성시환시농촌,졸중노년인적LE화ALE도유소연장,제시기생명수량화질량득도개선.
Objective To explore the experience of stroke influencing the lire expectancy(LE),active life expectancy(ALE),inactive life expectancy(IALE),and the trend of 1ife expectancy among older adults,from 1990s to 2000s in Beijing,China.Methods A representative sample of 3257 elderly people living in urban or rural communities in Beijing were followed up from 1990 until 2004.Their health and survival status had been surveyed every 3-5 years.Activity Daily Living(ADL)scale,recommended bv WHO was used to evaluate the physical function capability of the elderly.SAS was used to estimate LE,ALE and IALE for both periods of 1992-1997 and 2000-2004 by age and by areas of residency(rural or urban).Results LE and ALE were shorter.and IALE was longer,among the elderly with stroke than those without stroke at all age groups.Functional Status at baseline was also a very important factor in determining ALE and IALE.For those active at baseline,ALE in the elderly with stroke was shorter than those without.There were no difiererlces found in IALE between those with or without stroke.but ALE was longer than LALE.For the elderly with stroke and inactive at baseline.their IALE were longer than ALE and their ALE were at low levels in all age groups.Among those with stroke and living in urban,their LE and ALE were longer than those living in the rural area.When comparing with the period of 1992-1997.botll LE and ALE increased during the period of 2000-2004 in all the elderly groups,both in urban and rural areas.The largest increment occurred among those with stroke who originated in an inactive state.Conclusion Stroke reduced both quality and quantity of life of the elderly.The reductions of LE and ALE were greater among the elderly with stroke in rural than in urban areas.Both LE and ALE increased from 1992-1997 to 2000-2004 among the elderly with stroke in both urban and rural areas.