中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2011年
4期
313-315
,共3页
卞爱琳%卢惠茹%梁刚%王小飞
卞愛琳%盧惠茹%樑剛%王小飛
변애림%로혜여%량강%왕소비
贫血%营养不良
貧血%營養不良
빈혈%영양불량
Anemia%Malnutrition
目的 观察分析老年人贫血发生率及营养状况.方法 选择门诊健康查体的离退休老年人2052例,按年龄分为4组,65～69岁(528例)、70～74岁(593例)、75～79岁(423例),≥80岁(508例),检测体质指数(BMI)、血红蛋白(Hb)、红细胞平均体积(MCV)、三酰甘油(TG)、血肌酐(Cr)、血浆白蛋白(ALB)、血清铁蛋白(Fer)等指标,统计贫血发生率及对各营养指标进行分析.结果 (1)老年人贫血发生率为4.4%,其中男性4.0%,女性6.1%,＞80岁组为9.5%.Hb＜90 g/L者5例,均为80岁以上高龄患者.(2)各年龄组营养相关指标BMI、TG、Cr、ALB、Hb、MCV、Fer差异有统计学意义(均P＜0.01),且Hb、ALB在4组间差异有统计学意义(均P＜0.01),TG、Cr、MCV在多组间差异也有统计学意义(均P＜0.05).(3)经Pearson相关性分析,Hb与TG、ALB、Fer、MCV呈正相关,相关系数r值分别为0.12、0.21、0.11、0.10(均P＜0.01).结论 老年人随着年龄增长,贫血发生率逐渐增加,女性多于男性,尤以80岁以上高龄者发生率最高,且营养状况随着年龄增长而逐渐恶化.
目的 觀察分析老年人貧血髮生率及營養狀況.方法 選擇門診健康查體的離退休老年人2052例,按年齡分為4組,65～69歲(528例)、70～74歲(593例)、75～79歲(423例),≥80歲(508例),檢測體質指數(BMI)、血紅蛋白(Hb)、紅細胞平均體積(MCV)、三酰甘油(TG)、血肌酐(Cr)、血漿白蛋白(ALB)、血清鐵蛋白(Fer)等指標,統計貧血髮生率及對各營養指標進行分析.結果 (1)老年人貧血髮生率為4.4%,其中男性4.0%,女性6.1%,＞80歲組為9.5%.Hb＜90 g/L者5例,均為80歲以上高齡患者.(2)各年齡組營養相關指標BMI、TG、Cr、ALB、Hb、MCV、Fer差異有統計學意義(均P＜0.01),且Hb、ALB在4組間差異有統計學意義(均P＜0.01),TG、Cr、MCV在多組間差異也有統計學意義(均P＜0.05).(3)經Pearson相關性分析,Hb與TG、ALB、Fer、MCV呈正相關,相關繫數r值分彆為0.12、0.21、0.11、0.10(均P＜0.01).結論 老年人隨著年齡增長,貧血髮生率逐漸增加,女性多于男性,尤以80歲以上高齡者髮生率最高,且營養狀況隨著年齡增長而逐漸噁化.
목적 관찰분석노년인빈혈발생솔급영양상황.방법 선택문진건강사체적리퇴휴노년인2052례,안년령분위4조,65～69세(528례)、70～74세(593례)、75～79세(423례),≥80세(508례),검측체질지수(BMI)、혈홍단백(Hb)、홍세포평균체적(MCV)、삼선감유(TG)、혈기항(Cr)、혈장백단백(ALB)、혈청철단백(Fer)등지표,통계빈혈발생솔급대각영양지표진행분석.결과 (1)노년인빈혈발생솔위4.4%,기중남성4.0%,녀성6.1%,＞80세조위9.5%.Hb＜90 g/L자5례,균위80세이상고령환자.(2)각년령조영양상관지표BMI、TG、Cr、ALB、Hb、MCV、Fer차이유통계학의의(균P＜0.01),차Hb、ALB재4조간차이유통계학의의(균P＜0.01),TG、Cr、MCV재다조간차이야유통계학의의(균P＜0.05).(3)경Pearson상관성분석,Hb여TG、ALB、Fer、MCV정정상관,상관계수r치분별위0.12、0.21、0.11、0.10(균P＜0.01).결론 노년인수착년령증장,빈혈발생솔축점증가,녀성다우남성,우이80세이상고령자발생솔최고,차영양상황수착년령증장이축점악화.
Objective To observe the incidence rate of anaemia and analyze the nutritional situation in the elderly population.Methods From April to August 2010,a total of 2052 elderly persons from out-department of Tianjin First Center Hospital were divided into four age groups:65-69years group (n=528),70-74 years group (n=593),75-79 years group (n=423) and 80 years and over group (n= 508).The body mass index (BMI),haemoglobin (Hb),mean corpuscular volume (MCV),triglyceride (TG),creatinine (Cr),serum albumin (ALB) and ferritin (Fer) were tested and evaluated using K-W test.Results (1) Anaemia was found in 90 subjects (4.4 %),4.0% in men and 6.l% in women,9.5% in 80 years and over group.The subjects with Hb level less than 90g/L were all 80 years and over.(2)There were significant differences among the groups in BMI,TG,Cr,ALB,Hb,MCV and Fer levels (all P＜0.01).There were significant differences among four groups in Hb and ALB levels (P＜0.01 ),and partially differences in TG, Cr and MCV levels (P＜0.05).(3)The Hb level was significantly correlated with TG, ALB, Fer and MCV levels (r=0.115,0.211, 0.114 and 0.089, all P＜0.01 ) from Pearson analysis.Conclusions Anemia incidence in elderly population is increased along with aging and is higher in women than in men, especially higher in 80 years and over group.Nutritional situation gets worse with aging.
