| 马荣昊,陈旭娇,张靖梅.中西医协同模式下老年肌少症患者功能状态评估及影响因素分析[J].中国临床保健杂志,2026,29(2):216-221. |
| 中西医协同模式下老年肌少症患者功能状态评估及影响因素分析 |
| A study on functional status assessment and influencing factors of elderly sarcopenia patients based on the integration of traditional Chinese and Western medicine |
| 投稿时间：2026-02-10 |
| DOI：10.3969/J.issn.1672-6790.2026.02.014 |
| 中文关键词: 肌少症 功能状态 影响因素分析 中西医结合 老年人 |
| 英文关键词: Sarcopenia Functional status Root cause analysis Integrated traditional Chinese medicine & Western medicine Aged Fund programs:National Traditional Chinese Medicine Comprehensive Reform Demonstration Zone |
| 基金项目:国家中医药综合改革示范区 |
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| 中文摘要: |
| 目的 运用中西医协同老年综合评估方法,评估老年肌少症患者共存的中医体质和功能状态,进一步探讨老年肌少症患病的影响因素。方法 采取横断面研究方法。选取2024年8月至2025年8月期间在浙江中医药大学附属第一医院(浙江省中医院)就诊的252例≥60岁社区慢性病患者。收集其临床资料,并进行中医体质辨识、肌少症评估及相关功能评估。运用多因素logistic回归模型分析相关影响因素。结果 252例老年患者中诊断为肌少症的患者70例(27.8%)。肌少症患者在年龄、身高、体重、体重指数(BMI)、独居、多重用药、视力受损、口腔功能下降、营养不良、衰弱、抑郁、认知障碍方面的占比高于非肌少症患者(均P<0.05)。多因素logistic回归分析结果显示,高龄(≥80岁)、低BMI、多重用药、营养不良、气虚质、血瘀质是肌少症患病风险的独立危险因素(均P<0.05)。结论 老年人肌少症患病率高,高龄(≥80岁)、低BMI、多重用药、营养不良、气虚质、血瘀质是肌少症的独立危险影响因素。 |
| 英文摘要: |
| Objective To use the integrated traditional Chinese and Western medicine comprehensive geriatric assessment method to evaluate the coexisting TCM constitution and combined functional status in elderly patients with sarcopenia,and further explore the influencing factors of sarcopenia in the elderly.Methods A cross-sectional study was conducted.From August 2024 to August 2025,252 community-dwelling older adults (≥60 years) with chronic diseases who attended the First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine) were enrolled by typical sampling.Clinical data were collected,and traditional Chinese medicine (TCM) constitution identification,sarcopenia assessment,and related functional evaluations were performed.Multivariate logistic regression was used to analyze the influencing factors.Results Among the 252 elderly patients,70 (27.8%) were diagnosed with sarcopenia.Patients with sarcopenia had higher proportions in terms of age,height,weight,BMI,living alone,polypharmacy,impaired vision,decreased oral function,malnutrition,frailty,depression,and cognitive impairment compared to those without sarcopenia (all P<0.05).The multivariate logistic regression analysis showed that advanced age (≥80 years),low BMI,polypharmacy,malnutrition,qi deficiency constitution,and blood stasis constitution were independent risk factors for the risk of sarcopenia (P<0.05).Conclusions The prevalence of sarcopenia in the elderly is higher,advanced age (≥80 years),low BMI,polypharmacy,malnutrition,qi deficiency constitution,and blood stasis constitution are independent risk factors for sarcopenia. |
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