住院老年慢性疼痛患者运动认知风险综合征患病率及影响因素研究

doi:10.3969/j.issn.1003-9198.2026.09.010

摘要/Abstract

摘要： 目的调查住院老年慢性疼痛患者运动认知风险综合征(motoric cognitive risk syndrome,MCR)的患病率,并分析其影响因素。方法采用便利抽样法选取2025年10—12月辽宁省金秋医院347例住院老年慢性疼痛患者为调查对象。采用一般资料调查表、营养风险筛查2002(NRS2002)、疼痛数字评分量表(NRS)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠质量指数量表(PSQI)收集患者相关临床资料。采用非参数检验及卡方检验比较MCR组与无MCR组间临床资料,采用logistic回归分析探讨住院老年慢性疼痛患者伴MCR的影响因素。结果住院老年慢性疼痛患者MCR患病率为26.22%。MCR组与无MCR组年龄、BMI、受教育程度、吸烟、饮酒、婚姻状况、生活居住方式、疼痛部位数量、疼痛治疗方式、NRS2002评分、HAMA评分、PSQI评分比较,差异均有统计学意义(P<0.01)。Logistic回归分析结果显示:年龄、BMI、受教育程度、吸烟、生活居住方式、PSQI评分是住院老年慢性疼痛患者伴MCR的独立影响因素(P<0.05)。结论住院老年慢性疼痛患者MCR的患病率较高,年龄、BMI、受教育程度、吸烟、生活居住方式、PSQI评分是住院老年慢性疼痛患者伴MCR的独立影响因素。

关键词: 住院, 老年人, 慢性疼痛, 运动认知风险综合征, 影响因素

Abstract: Objective To investigate the prevalence of motoric cognitive risk syndrome (MCR) in elderly inpatients with chronic pain and to analyze its influencing factors. Methods A total of 347 elderly inpatients with chronic pain admitted to Liaoning Jinqiu Hospital from October to December in 2025 were selected by convenience sampling. The General Information Questionnaire, the Nutritional Risk Screening 2002 (NRS2002), Numeric Rating Scale (NRS), Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), and Pittsburgh Sleep Quality Index (PSQI) were used to collect relevant clinical data of the patients. Non-parametric test and chi-square test were used to compare the clinical data between the MCR group and the non-MCR group. Logistic regression analysis was conducted to explore the influencing factors of MCR in elderly inpatients with chronic pain. Results The prevalence of MCR in elderly inpatients with chronic pain was 26.22%. There were statistically significant differences between the MCR group and the non-MCR group in terms of age, body mass index (BMI), education level, smoking, drinking, marital status, living and residence mode, number of pain sites, pain treatment methods, and scores of NRS2002, HAMA and PSQI (P<0.01). Logistic regression analysis showed that age, BMI, education level, smoking, living and residence mode, and PSQI score were independent influencing factors of MCR in elderly inpatients with chronic pain (P<0.05). Conclusions The prevalence of MCR in elderly inpatients with chronic pain is relatively high. Age, BMI, education level, smoking, living and residence mode, and PSQI score are independent influencing factors of MCR in elderly inpatients with chronic pain.

Key words: inpatients, aged, chronic pain, motoric cognitive risk syndrome, influencing factor

中图分类号:

R 592

栾新, 孔琳姝, 谢欣, 毕书涵, 邹瑛涵. 住院老年慢性疼痛患者运动认知风险综合征患病率及影响因素研究[J]. 实用老年医学, 2026, 40(9): 913-917.

LUAN Xin, KONG Linshu, XIE Xin, BI Shuhan, ZOU Yinghan. Prevalence of motoric cognitive risk syndrome in hospitalized elderly patients with chronic pain and its influencing factors[J]. Practical Geriatrics, 2026, 40(9): 913-917.

参考文献

[1] 李佳佳, 张俊娟, 贾曼, 等. 生物标志物在慢性疼痛精准护理中的应用进展[J]. 护理研究, 2026, 40(3): 504-508.
[2] 徐金, 黄莹, 王睿, 等. 老年慢性疼痛患者生命意义感的潜在剖面分析及影响因素研究[J]. 护理管理杂志, 2025, 25(7): 568-574.
[3] 王婷婷, 傅巧美, 黄莹, 等. 心理弹性在老年慢性疼痛患者疼痛管理自我效能与生活质量间的中介效应[J]. 中国医药导报, 2024, 21(3): 76-80.
[4] 周晨曦, 田翌成, 刘于, 等. 运动认知风险综合征老年人的转归结局及预测因素[J]. 护理研究, 2026, 40(4): 536-541.
[5] LIANG H, FANG Y. Chronic pain increases the risk of motoric cognitive risk syndrome at 4 years of follow-up: evidence from the China Health and Retirement Longitudinal Study[J]. Eur J Neurol, 2023, 30(4): 831-838.
[6] MULLIN D S, COCKBURN A, WELSTEAD M, et al. Mechanisms of motoric cognitive risk-hypotheses based on a systematic review and meta-analysis of longitudinal cohort studies of older adults[J]. Alzheimers Dement, 2022, 18(12): 2413-2427.
[7] KONDRUP J, RASMUSSEN H H, HAMBERG O, et al. Nutritional risk screening (NRS 2002): a new method based on an analysis of controlled clinical trials[J]. Clin Nutr, 2003, 22(3): 321-336.
[8] MAJEDI H, SAFDARIAN M, HAJIAGHABABAEI M, et al. Characteristics of neuropathic pain in individuals with chronic spinal cord injury[J]. Neurosciences:Riyadh, 2018, 23(4): 292-300.
[9] HAMILTON M. The assessment of anxiety states by rating[J]. Br J Med Psychol, 1959, 32(1): 50-55.
[10] HAMILTON M. Development of a rating scale for primary depressive illness[J]. Br J Soc Clin Psychol, 1967, 6(4): 278-296.
[11] BUYSSE D J, REYNOLDS C F, MONK T H, et al. The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research[J]. Psychiatry Res, 1989, 28(2): 193-213.
[12] 马丽娜, 邢怡文, 张丽, 等. 老年人运动认知风险综合征健康管理中国专家共识(2025)[J]. 中国临床保健杂志, 2025, 28(1): 1-12.
[13] 王明兰. 老年住院患者运动认知风险综合征的相关因素分析[D]. 唐山: 华北理工大学, 2024.
[14] 李立明. 流行病学[M]. 6版. 北京: 人民卫生出版社, 2007: 40-43.
[15] LI G, HE Z, HU J, et al. Association between pain interference and motoric cognitive risk syndrome in older adults: a population-based cohort study[J]. BMC Geriatr, 2024, 24(1): 437.
[16] 朱琳琳, 朱金星. 老年肺癌化疗病人慢性疼痛灾难化发展轨迹及对体力活动的影响[J]. 护理研究, 2026, 40(10): 1651-1657.
[17] 戴娆, 张维森, 柴智浩, 等. 广州中老年人肥胖和体成分指标的年龄特征及性别特异性研究[J]. 中国慢性病预防与控制, 2026, 34(4): 260-264.
[18] XIE Y, LI S, CHEN R, et al. Differences in insulin sensitivity, secretion, and the metabolic clearance rate of glucose in newly diagnosed type 2 diabetes mellitus patients: the influences of body mass index and fatty liver[J]. Metab Syndr Relat Disord, 2022, 20(8):451-458.
[19] 王青. 安徽省农村老年人运动认知风险综合征的影响因素研究[D]. 合肥: 安徽医科大学, 2025.
[20] IQBAL K, HASANAIN M, AHMED J, et al. Association of motoric cognitive risk syndrome with cardiovascular and noncardiovascular factors: a systematic review and meta-analysis[J]. J Am Med Dir Assoc, 2022, 23(5): 810-822.
[21] XIONG F, WANG Y, ZHU J, et al. Association of multimorbidity patterns with motoric cognitive risk syndrome among older adults: evidence from a China longitudinal study[J]. Int J Geriatr Psychiatry, 2023, 38(11): e6021.
[22] NIDADAVOLU L S, FEGER D, CHEN D, et al. Associations between circulating cell-free mitochondrial DNA, inflammatory markers, and cognitive and physical outcomes in community dwelling older adults[J]. Immun Ageing, 2023, 20(1): 24.
[23] WEN Z F, PENG S H, WANG J L, et al. Prevalence of motoric cognitive risk syndrome among older adults: a systematic review and meta-analysis[J]. Aging Ment Health, 2023, 27(8): 1443-1455.