ＯｂｊｅｃｔｉｖｅTo investigate the status about senile dementia among the elderly of nursing homes and analyze the risk factors of dementia in Xian.ＭｅｔｈｏｄｓQuestionnaires and measuring scales of demography, health history, MMSE, ADL, HDS and so on were used as screening tools.ＲｅｓｕｌｔｓThe prevalence of senile dementia was 36.7% in those who lived in nursing homes, which was much higher than that of other elderly groups. Dementia prevalence raised with increasing age and descending ADL scores, while it was reduced in groups with elevating education level. Old age, living in nursing homes and high ADL scores remained risk factors for dementia.ＣｏｎｃｌｕｓｉｏｎｓThe prevalence of dementia in those living in groups in Xian is high, especially in those living in nursing homes.
ＯｂｊｅｃｔｉｖｅTo explore the relationship between familial factors and mental health in elderly people in Beijing. ＭｅｔｈｏｄｓA sample of 1706 elderly people living in Beijing was investigated, and they received the examination with self evaluation scale and CESD.The data on demographic characteristics, living conditions and health were surveyed.Ｒｅｓｕｌｔｓ Familial factor affected the mental health of elderly people.Those who lived alone,mateless,in an inharmonious family, or were not respected in family and did not speak up one’s mind had poor mental health. ＣｏｎｃｌｕｓｉｏｎｓThe mental health of elderly people is affected by familial factors. Good family relationship can decrease the incidence of mental problems.The traditional virtue of Chinese people of respecting the old and maintaining a harmonious family relationship should be carried forward.
【Ａｂｓｔｒａｃｔ】 ＯｂｊｅｃｔｉｖｅTo investigate the relation of anxiety and depression with social support among elderly patients with hypertension.Ｍｅｔｈｏｄｓ500 elderly patients with hypertension were investigated by using simple coping mode questionnaire,selfrating anxiety scale,selfrating depression scale and social support rating scale.ＲｅｓｕｌｔｓThe total score of selfrating anxiety scale had negative correlation with the total score of social support rating scale,objective social support,subjective social support and utilization of support in social support in elderly patients with hypertension in community,respectively（r=-0113，r=-0136，r=-0142，r=-0102）；The total score of selfrating depression scale had negative correlation with the total score of social support rating scale,objective social support,subjective social support and utilization of support in social support in patients with hypertension in community,respectively（r=-0132，r=-0142，r=-0156，r=-0127）.ＣｏｎｃｌｕｓｉｏｎｓAnxiety and depression correlate with social support respectively among elderly patients with hypertension in community. Enhancing social support among elderly patients with hypertension in community maybe contribute to their physical and mental health.
ＯｂｊｅｃｔｉｖｅTo investegate the independent pharmacologic effects of albumin and furosemide on hypoproteinemic elderly patients with acute lung injury or acute respiratory distress syndrome.ＭｅｔｈｏｄｓForty patients with acute lung injury or acute respiratory distress syndrome aged more than 60 were randomly divided into intervention group, receiving treatment of albumin and furosemide, and control group, receiving treatment of furosemide. The oxygenation index, the level of albumin, net fluid loss were measured.ＲｅｓｕｌｔｓThere were no significant differences in baseline characteristics between two groups. Albumintreated patients had increased oxygenation index (P＜001), increased serum albumin (44 g/L vs 095 g/L at day 3, P＜001) and more net fluid loss (P＜001) throughout the study period. Although the mobidity of albuminfurosemide treated patients was lower, there was no significant difference compared with the control patients. The albuminfurosemide treated patients could live longer than those control patients (P＜005).ＣｏｎｃｌｕｓｉｏｎｓThe combination therapy of albumin and furosemide in hypoproteinemic elderly patients with acute lung injury or acute respiratory distress syndrome could significantly improve oxygenation index, increase negative fluid balance, prolong survival time, with no significant benefit in mortality.
ＯｂｊｅｃｔｉｖｅTo investigate the clinical effect of supplementary therapy with budesonide on acute exacerbation of chronic obstructive pulmonary disease (COPD).ＭｅｔｈｏｄｓSixty patients presenting with acute exacerbation of COPD were randomly divided into three groups. The control group received routine treatment, including nebulized β2agonists, ipratropium bromide, antibiotics, and supplemental oxygen. The budesonide group and the methylprednisolone group received combined therapy of routine treatment and nebulized budesonide or intravenous infusion of methylprednisolone, respectively. All patients underwent the measurement of pulmonary function and arterial blood gas analysis.ＲｅｓｕｌｔｓThe FEV1% and blood gas parameters were more significantly improved in the budesonide group and methylprednisolone group than those in the control group, while there was no difference in FEV1% and blood gas parameters between budesonide group and methylprednisolone group.ＣｏｎｃｌｕｓｉｏｎｓNebulized budesonide may be an alternative to systemic corticosteroids in the treatment of acute exacerbations of COPD.
ＯｂｊｅｃｔｉｖｅTo investigate clinical significance of tombstoning of ST segment in acute myocardial infarction (AMI) in the elderly.ＭｅｔｈｏｄｓAmong 468 patients with AMI, there were 42 cases whose ECG showed tombstoning of ST segment. According to the patients’age, those 42 cases were divided into elder tombstoning of ST segment group and nonelder tombstoning of ST segment group. Besides, 50 cases whose ECG showed ST segment elevation in other shapes were chosen randomly as control group in the 468 patients. Some indexes were analyzed in these three groups.Ｒｅｓｕｌｔｓ100% of the elderly patients with tombstoning ST segment elevation were found to have underlying diseases.The incidence rate of postmyocardial infarction angina before PCI，complication, mortality, leads of ST segment elevation or pathologic Q wave, amplitude were all significantly higher than those of the nonelder patient groups. And all the above values in tombstoning group were higher than those in other groups,and the difference was statistically significant. And the incidence rate of ischemic myocardial reperfusion after PCI is significantly higher in tombstoning group than that in nonelder patient groups.ＣｏｎｃｌｕｓｉｏｎｓThe tombstoning of ST segment suggests the poor prognosis in AMI patients, especially in elderly patients. These patients should be cautioned against reperfusion injury.
ＯｂｊｅｃｔｉｖｅTo investigate the influence of exercise training on exercise tolerance in aged patients with stable angina pectoris(SAP).ＭｅｔｈｏｄｓSixty patients with SAP, receiving the same drug treatment, were divided into exercise group(n=30) and nonexercise group(n=30).The patients in exercise group received exercise training such as walking, jogging, up and down stairs, or Taiji. Exercise tolerance was evaluated by treadmill exercise test(MET) and 6minute walking distance (6MWD) test.ＲｅｓｕｌｔｓThere was significant correlation (r=0816,P＜001)between 6MWD and MET.There were longer 6MWDs in exercise group and nonexercise group after intervention（P＜001, P＜005 respectively）.There were much longer 6MWD in exercise group than that in nonexercise group(P＜0.05).ＣｏｎｃｌｕｓｉｏｎｓExercise training can increase exercise tolerance in aged patients with SAP, and the exercise tolerance can be estimated by 6MWD.
ＯｂｊｅｃｔｉｖｅTo explore the therapeutic effect of vaginal bridge repair plus pelvic fascia suture in the treatment of vaginal posterior wall defect.ＭｅｔｈｏｄｓThe data of 83 patients undergoing vaginal bridge repair plus pelvic fascia suture were retrospectively analyzed. The average time of followup after operation was 2242 months. The change of POPQ degree after the operation was analyzed to investigate the recovery of the pelvic anatomy after the operation. The improvement of the defecation functional disorder was estimated by observing the defecation and the PISQ12 sexual life questionnaire was used to evaluate sexual life quality after the operation.ＲｅｓｕｌｔｓThe average time of the vaginal bridge repair was 15 min. None of the operations had complications. Only one case recurred. Recurrence rate was 12%. 812% of the patients felt the improvement of the defecation functional disorder.2.63% of the patients had algopareunia. The scores of PISQ showed no significant difference between preoperation(7957±656) and postoperation(7862±640).ＣｏｎｃｌｕｓｉｏｎｓVaginal bridge repair plus pelvic fascia suture have certain therapeutic effect in the near future. It can improve the constipation and has no effect on the sexual life.
ＯｂｊｅｃｔｉｖｅTo investigate the degree of lower urinary tract symptoms (LUTS) in elderly people with erectile dysfunction (ED) and evaluate the correlation between ED and LUTS.ＭｅｔｈｏｄｓTotal 67 patients were divided into mild group, moderate group and severe group according to international prostate symptom score (IPSS). Every patient took a 5item version of the international index of erectile function ( IIEF5) test. The peak systolic velocity (PSV) and end diastolic velocity (EDV)of cavernosal artery were measured by color doppler ultrasonography.Then the results were statistically analyzed.ＲｅｓｕｌｔｓThe means of IIEF5 scores and PSVs decreased along with the progression of LUTS and significant differences were found when mild group comapared with moderate and severe group(P＜005).There was no significant difference of EDVs among three groups(P＞005).ＣｏｎｃｌｕｓｉｏｎｓThe sexual life quality in elderly persons with ED decreases along with the progression of LUTS and hemodynamic effect may be the cause.
ＯｂｊｅｃｔｉｖｅTo observe the clinical effects of “Mengxing decoction” in the treatment of depression after apoplexy in the elderly patients.ＭｅｔｈｏｄｓEightytwo subjects were randomly divided into treatment group treated with western medicine and “Mengxing decoction”and control group treated with western medicine.The clinical effects were observed in the two groups respectively two and eight weeks after treatment.ＲｅｓｕｌｔｓThe scores of Hamilton depression rating scale and neural function defect scale in the treatment group were superior to those in the control group significantly (P＜001).Ｃｏｎｃｌｕｓｉｏｎｓ“Mengxing decoction” has good effect on poststroke depression.
