老年人患有和非患有腰椎间盘突出跌倒的相关因素：结构方程模型分析

王 丽威
四平市第四人民医院

摘要


目的：研究明确诊断患有腰椎间盘突出（lumbar disc herniation , LDH）老年人群组与非患人群组跌倒的频率的相关性。方法：两组人群的流行病学观察研究：患有LDH组268名和不患有LDH组189名的老年人，对调查数据进行统计分析。结果：患有LDH的老年人跌倒的发生率高于不患有LDH的老年人群。在两组中，衰弱和抑郁症状与跌倒发生率较高直接相关。在患有LDH的老年人中，身体表现得分最低和久坐行为最高与跌倒次数最高直接相关。在不患有LDH的老年人中，年龄最小、发病率最高以及日常生活工具活动的功能性残疾与跌倒的发生直接相关。结论：患有LDH的老年人跌倒的频率较高。与跌倒发生相关的因素在患有LDH和不患有LDH的老年人之间有所不同。对指导和实施减少跌倒事件发生的措施有实际指导意义。

关键词


跌倒；老年人；腰椎间盘突出；因素分析

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参考


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