文章摘要
李杰,魏超慧,向凝.衰弱评估和抗凝治疗的策略与研究方向[J].中国临床保健杂志,2026,29(3):414-419.
衰弱评估和抗凝治疗的策略与研究方向
Strategies and research directions for frailty assessment and anticoagulant therapy
投稿时间:2026-01-04  
DOI:10.3969/J.issn.1672-6790.2026.03.023
中文关键词: 心房颤动  衰弱  健康状况指标  诊断技术和方法  老年人
英文关键词: Atrial fibrillation  Frailty  Health status indicators  Diagnostic techniques and procedures  Aged 〖FL
基金项目:
作者单位E-mail
李杰 贵州医科大学临床医学院,贵阳 550025
贵州医科大学附属医院老年医学科,贵阳 550004 
xiangning1256@126.com 
魏超慧 贵州医科大学临床医学院,贵阳 550025
贵州医科大学附属医院老年医学科,贵阳 550004 
xiangning1256@126.com 
向凝 贵州医科大学附属医院老年医学科,贵阳 550004 xiangning1256@126.com 
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中文摘要:
      在老龄化社会背景下,衰弱作为常见的老年综合征,与心房颤动(AF)的相互交织关系尤为显著。研究证实,衰弱不仅是AF的一个独立危险因素,还与患者的临床预后有着不可忽视的关联,显著影响着抗凝治疗的决策。本文深入分析了AF与衰弱之间的复杂关联,探讨炎症、自主神经失衡等生物学机制在这一关系中的潜在影响,指出当前衰弱评估工具的局限性,强调生物标志物的重要性,对未来研究提出了新的视角,以期为老年AF患者提供更精准的个性化治疗方案,助力健康老龄化的实现。
英文摘要:
      In the context of an aging society,frailty,a prevalent geriatric syndrome,exhibits a particularly pronounced interplay with atrial fibrillation.Accumulating research consistently confirms that frailty serves not only as an independent risk factor for atrial fibrillation but also correlates significantly with clinical prognosis,thereby notably influencing decisions regarding anticoagulation therapy.This paper delves into the intricate association between these entities,exploring the potential impacts of biological mechanisms such as inflammation and autonomic imbalance on this relationship.Simultaneously,it highlights the limitations of current frailty assessment tools while underscoring the criticality of biomarkers.Furthermore,novel perspectives for future research are proposed,aiming to furnish more precise personalized treatment strategies for elderly atrial fibrillation patients,thereby promoting healthy aging initiatives.
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