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中青年高血压住院患者轻度认知功能障碍发生现状及影响因素分析

摘要:背景:高血压患者轻度认知功能障碍的发生率较高,但目前国内外针对高血压患者轻度认知功能障碍的研究多集中在老年群体,缺少中青年高血压患者MCI的发生情况及相关影响因素的研究。目的 探讨中青年高血压住院患者轻度认知功能障碍发生现状,并分析其影响因素。 方法 采用便利抽样法,选取2021年5月-12月在哈尔滨市某三级甲等医院住院的213例中青年高血压患者,采用一般资料调查表、蒙特利尔认知评估量表、D型人格量表进行调查,采用Logistic回归分析中青年高血压住院患者轻度认知功能障碍的影响因素。 结果 中青年高血压住院患者轻度认知功能障碍的发生率为37.9%,Logistic回归分析结果显示年龄、BMI、受教育程度、吸烟史、高血压分级、D型人格、TG、HDL-C是中青年高血压住院患者轻度认知功能障碍的主要影响因素(P<0.05)。 结论 中青年高血压住院患者轻度认知功能障碍发生率较高,高龄、低教育水平、D型人格、高TG及低HDL-C等高血压患者更容易发生轻度认知功能障碍。医护人员应当尽早对中青年高血压患者进行轻度认知功能障碍的评估与危险因素筛查,以发现轻度认知功能障碍的高危人群并进行有效防控。

英文摘要:Background Mild cognitive impairment (MCI) is a common complication in hypertensive individual, but the current studies on MCI in hypertensive patients are mostly focused on the elderly group, and there is a lack of studies on the incidence of MCI and influencing factors in young and middle-aged hypertensive patients. Objective To investigate current status of MCI in young and middle-aged hospitalized patients with hypertension and to analyze the influencing factors. Methods A sample of 213 young and middle-aged hospitalized patients using convenience sampling method were investigated who were diagnosed with hypertension from May 2021 to December 2021 in the tertiary hospital. Results The incidence of MCI in young and middle-aged hospitalized patients with hypertension was 37.9%. The results of Logistic regression analysis showed that age, BMI, education background, smoking, degree of hypertension, type D personality ,TG, and HDL-C were influential factors in young and middle-aged hospitalized patients with hypertension(P<0.05). Conclusion Young and middle-aged hospitalized patients with hypertension have a high incidence of MCI. age, low level of education, type D personality, high level of TG and low level of HDL-C were influential factors of MCI in patients with hypertension. Health clinicians should screen MCI for young and middle-aged hospitalized patients with hypertension to identify these vulnerable population as early as possible.

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[V1] 2022-08-12 18:31:10 chinaXiv:202208.00080V1 下载全文
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