| 毕江涵,康琳,洪婷婷,高娜,崔晓丽,王慧,杜攀.衰弱-肌少症门诊患者现况与干预效果分析[J].中国临床保健杂志,2023,26(1):17-21. |
| 衰弱-肌少症门诊患者现况与干预效果分析 |
| An analysis of outpatient diagnosis and treatment of frailty and sarcopenia |
| 投稿时间：2022-11-15 |
| DOI：10.3969/J.issn.1672-6790.2023.01.004 |
| 中文关键词: 衰弱 肌减少症 消瘦 口腔 生活质量 流行病学研究 |
| 英文关键词: Frailty Sarcopenia Emaciation Mouth Quality of life Epidemiologic studies 〖FL |
| 基金项目:中央高水平医院临床科研专项(2022-PUMCH-B-129)；国家重点研发计划项目(2018YFC2002100,2018YFC2002104) |
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| 中文摘要: |
| 目的 分析北京协和医院衰弱-肌少症门诊开设以来接诊患者特征及评估情况,探讨干预策略的效果。方法 统计2014年8月至2022年9月中国医学科学院北京协和医院门诊患者人口学与临床特征及衰弱与肌少症诊断率；随访2020年9月至2022年9月首诊的115名患者,评估其口腔衰弱情况,总结其四肢骨骼肌质量指数(ASMI)、握力、步速、5次起坐时间等结果及Fried表型等调查结果,分析干预后主要指标改善情况。结果 衰弱-肌少症门诊开诊以来共接诊患者4 334人次,以65~74岁老年人为主(占33.59%),女性较多(占57.6%),消瘦(27.5%)是最主要的首诊原因。近2年就诊患者115名,其中8.3%诊断衰弱,54.63%诊断肌少症,多数口腔健康相关生活质量不佳。中位随访时间3.5个月,体重、小腿围、握力、5次起坐时间和步速均较基线改善(P＜0.05)。结论 消瘦患者若及时在衰弱-肌少症门诊接受标准干预并依从良好,短期内即可见到肌肉功能指标改善。 |
| 英文摘要: |
| Objective To analyze the characteristics and evaluation of the patients received in the asthenia muscular dystrophy clinic of Peking Union Medical College Hospital since its opening,and to explore the effect of intervention strategies.Methods This was a descriptive study to analyze the demographic and clinical characteristics,diagnosis of frailty and sarcopenia of the patients attending the clinic from August 2014 to September 2022.A total of 115 patients who visited the clinic from September 2020 to September 2022 were enrolled to measure their appendicular skeletal muscle mass index (ASMI),grip strength,pace,five-repetition of sit-to-stand test,the Fried′s phenotype and other relative indicators,and to evaluate whether they were in oral frailty status.To analyze the improvement of main indicators after intervention.Results A total of 4 334 person-time visited the clinic.Patients aged 65-74 years were most seen in the clinic(33.59%).Most of the patients were female(57.4%).Emaciation was the most common reason for encounter.During the past 2 years,a total of 115 patients had visited the clinic.8.3% of them were diagnosed with frailty and 54.63% with sarcopenia.Most of them had reserved oral health related quality of life.Median follow-up was 3.5 months.Weight,calf circumferences,grip strength,five-repetition of sit-to-stand test and pace were improved compared to baseline(P＜0.05).Conclusions If emaciated patients receive standardized intervention in time with good compliance,relative indicators of muscle strength and mass can be improved in short term. |
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