摘要
目的 探讨中医保健观念和措施与老年性痴呆 (AD)的关系。方法 采用基于社区的配比设计的病例 -对照研究。AD病例 1 79例 ,对照组 454例 ,病例与对照者按性别、年龄、教育程度进行配比。调查内容包括人口社会学情况、社会支持、精神保健、日常生活的规律性、睡眠时间、饮食情况、吸烟是否、运动养生以及药物养生等。结果 条件 Logistic回归分析显示 ,“每天睡眠时间 6～ 9h”、“经常与他人联系、串门或与不住一起的亲戚相聚”、“持有‘饮食有关 ,起居有常 ,劳逸适度 ,情志调节’能健康长寿的观念或日常生活很有规律”以及“经常做体育锻炼 ,每次锻炼时间超过 2 0min,并坚持 3年以上”,这四个因素的比数比 (OR)分别是 0 .631、0 .490、0 .41 3和 0 .2 2 4。持有“养生重清静”和“生活应顺其自然”会健康长寿的观点 ,这一因素的 OR为 1 .91 9。有关药物养生方面的观念和措施以及家庭支持的因素 ,未能得出有意义的结果。结论 中医保健观念和措施与老年性痴呆有显著性关联。对于 AD,中医保健观念和措施之中既有保护因素 ,也可能存在危险因素。针对可能的危险因素和保护因素 。
? Objective To evaluate the relationship between regimen believes and health care in Traditional Chinese Medicine(TCM) and Alzheimer's disease(AD).Methods Subjects selected from random sample in Liwan district of Guangzhou from 1994 to 1995.454 controls were individually matched by sex,age and education to each case of 179 patients.Contents of investigative questionnaire involevd sex,age education family information, social support,information about health preservation concerning mental, living diet, exercise, health preservation of Chinese herbal medicine,regularity of daily life and duration of sleep each day.Results Conditional logistic regression analysis was performed to estimate the exposure OR.There were four regimen factors,i e “6 to 0 hours of sleep each day”,“contact frequently with other persons and usually get together with relatives”,“balance between work and rest and adjustment of emotions are good four health”and “usually doing exercise(duration each time >20 minutes and persist over 3 year”,were statistically significant.The ORs of these four factors were respectively 0 631,0 490,0 413 and 0 224.The quiet belief factor,that is,believes of“peace and quiet are importanat for health preservation”and “life should be suitable for nature”,was also significantly related to AD.Its OR was 1 919.Believes and methodes of health preservation concerning Chinese herbal medicine and family support were not statistically significant.Conclusions The regimen believes and health cares in TCM were Significantly associtated with AD.In regard to AD,the regimen believes and health cares in TCM not only have protective effects, but also have risks.Aiming at these likely risk and protective factors of AD,we can suggest some regimen methods and health belief in TCM to prevent the occurrence and development of AD. 〔
出处
《中国老年学杂志》
CAS
CSCD
北大核心
2001年第3期163-166,共4页
Chinese Journal of Gerontology
基金
广东省科学技术委员会科学基金项目(编号:930914)
广东省卫生系统"五个一科教兴医"重点科研项目(粤卫科〔1996〕20号文)
关键词
老年性痴呆
社区
病例-对照研究
中医药保健
危险因素
保护因素
Alzheimer's disease
Population based case control study
The regimen belives and health care
Traditional Chinese Medicine(TCM)
Risk factor Protective factor
作者简介
温泽准,男,35岁,硕士,副研究员、从事中医脑病及其临床流行病学研究
