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老年人的视力障碍、睡眠与夜尿症

Visual impairment, sleep and nocturia in the elderly.

作者信息

Asplund R

机构信息

Family Medicine Stockholm, Karolinska Institutet, SE-141 83 Huddinge, Sweden.

出版信息

Arch Gerontol Geriatr. 2005 Jul-Aug;41(1):61-7. doi: 10.1016/j.archger.2004.11.003.

Abstract

The aim of this study was to determine whether there was a relationship between visual impairment and nocturia in a group of elderly men and women. A questionnaire survey was undertaken among 10,216 elderly subjects. The mean (+/-S.D.) ages of the men and women were 73.0+/-6.0 and 72.6+/-6.7 years, respectively. Visual impairment was reported by 20.9% of the men and 32.9% of the women and was twice as common in men and 1.8 times more common in women of ages > or =80 as in those of ages <70 years. Occurrence of three or more nocturnal micturition episodes was 1.7 (1.2-2.3) times higher in men and 1.9 (1.5-2.4) times in women with visual impairment. In a multiple logistic regression analysis, significant independent correlates of three or more nocturnal micturition episodes versus two or fewer such episodes in men were: age, 70-79 years versus <70 years (odds ratio [OR] 1.6; confidence interval [CI] 1.1-2.6), age > or =80 years versus <70 years (1.7; 1.0-3.0), sleep, poor versus good (2.1; 1.4-3.2), and poor vision (1.8; 1.2-2.7). The corresponding odds ratios in women were: age 70-79 years versus <70 years (1.9; 1.3-2.7), age > or =80 years versus <70 years (2.1; 1.3-3.2), sleep, poor versus good (2.8; 2.1-3.7), and vision, poor versus good (1.6; 1.2-2.1).

摘要

本研究的目的是确定一组老年男性和女性的视力损害与夜尿症之间是否存在关联。对10216名老年受试者进行了问卷调查。男性和女性的平均(±标准差)年龄分别为73.0±6.0岁和72.6±6.7岁。报告有视力损害的男性占20.9%,女性占32.9%,年龄≥80岁的男性中视力损害的发生率是<70岁男性的两倍,年龄≥80岁的女性中视力损害的发生率是<70岁女性的1.8倍。视力损害的男性夜间排尿三次或更多次的发生率比无视力损害的男性高1.7(1.2 - 2.3)倍,女性高1.9(1.5 - 2.4)倍。在多元逻辑回归分析中,男性夜间排尿三次或更多次与两次或更少次相比,显著的独立相关因素为:年龄,70 - 79岁相较于<70岁(比值比[OR] 1.6;置信区间[CI] 1.1 - 2.6),年龄≥80岁相较于<70岁(1.7;1.0 - 3.0),睡眠,差相较于好(2.1;1.4 - 3.2),以及视力差(1.8;1.2 - 2.7)。女性相应的比值比为:年龄70 - 79岁相较于<70岁(1.9;1.3 - 2.7),年龄≥80岁相较于<70岁(2.1;1.3 - 3.2),睡眠,差相较于好(2.8;2.1 - 3.7),以及视力,差相较于好(1.6;1.2 - 2.1)。

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