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Objective To explore the characteristics and influencing factors for concurrent anxiety and depression in geriatric patients.Methods A total of 1 318 older people aged over 60 from Beijing were investigated and divided into four groups:high anxiety with high depression,high anxiety with low depression,low anxiety with high depression,and low anxiety with low depression,based on results of Geriatric Depression Scale(GDS)and Geriatric Anxiety Inventory(GAI).Results Logistic regression analysis found that,compared with institution-dwelling elderly,home-dwelling patients were more prone to anxiety (βlow depression =1.66,P =0.01;βhigh depression =2.41,P =0.03),regardless of depression levels,but when anxiety levels were high,depression was easier to relieve in home-dwelling elderly than in their institution-dwelling counterparts(β=-1.50,P =0.01);Compared with patients with low anxiety and low depression,family support (β =-0.16,P =0.06) and friend support(β=-0.23,P =0.01)could reduce the incidence of high anxiety and high depression.Self-care abilities could predict the occurrence of high anxiety and high depression,rather than low anxiety and low depression,in the elderly (β=-1.81,P =0.01).Comorbidities(β=0.28,P =0.09)and neurological disorders were importan t risk factors for concurrent anxiety and depression.Conclusions In addition to physical health and self-care abilities,strong social support and quality elderly care (especially for neurological patients)can help reduce the incidence of concurrent anxiety and depression in elderly people.
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Objective To explore the relationship between homocysteine(HCY),glycosylated hemoglobin(HbA1c),lipids and posterior circulation ischemia and the clinical significance of their levels in the posterior circulation ischemic (PCI)diseases. Methods Difference between PCI were diagnosed in 140 examinees and a healthy control group,with fasting serum,HCY, HbA1c,total cholesterol (TC),triglyceride (TG),high density lipoprotein cholesterol (HDL-C)and low-density lipoprotein cholesterol (LDL-C)were detected.Results HCY and HbA1c were significantly higher,HDL-C was significantly lower in the patients with PCI,two independent sample t-test showed a significant difference between the test group and control group (P <0.001 and P =0.001),the remaining lipid indicators was not statistically significant.Spearman rank correlation analysis showed that HCY levels had significant positive correlation (P <0.001)and TG levels had significant negative cor-relation (P =0.013)with the subjects age,HCY levels had significant negative correlation with TG levels(P = 0.028), HbA1c levels had significant positive correlation with TG levels and LDL-C levels(P =0.001 and P =0.027).Conclusion High levels of HCY and HbA1c were closely associated with PCI,which HCY and HbA1c should be attached great impor-tance to the effective prevention and treatment and improve of PCI.
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AIM: To investigate the protective effects and its mechanism of Jinkui Gastric Drug(JK). METHODS: The model of gastric mucosal lesion in rats induced by hydrochloride acid-aspirin was used.The indexes of gastric mucosal lesion in JK and control groups were observed.The contents of nitric oxide(NO) and the activity of nitric oxide synthase(NOS) in blood serum and gastric tissue in rats,the levels of 6-keto-PGF_(1?),thromboxane B_2(TXB_2) in blood plasma and epidermal growth factor(EGF) in blood serum were examined. RESULTS: The index of gastric mucosal lesion after administration of JK reduced obviously.The contents of NO and the activity of NOS in serum and gastric tissue increased markedly.The levels of 6-keto-PGF_(1?),TXB_2 and EGF increased significantly. CONCLUSION: JK can protect experimental gastric mucosal lesion and its mechanism may be related to increasing the protective factors.