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。
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.
作者
毕江涵
康琳
洪婷婷
高娜
崔晓丽
王慧
杜攀
Bi Jianghan;Kang Lin;Hong Tingting;Gao Na;Cui Xiaoli;Wang Hui;Du Pan(Department of Geriatrics,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Peking Union Medical College,Beijing 100730,China;不详)
出处
《中国临床保健杂志》
CAS
2023年第1期17-21,共5页
Chinese Journal of Clinical Healthcare
基金
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)。
关键词
衰弱
肌减少症
消瘦
口腔
生活质量
流行病学研究
Frailty
Sarcopenia
Emaciation
Mouth
Quality of life
Epidemiologic studies
作者简介
通信作者:康琳,主任医师,硕士研究生导师,北京协和医院老年医学科副主任,中华医学会老年医学分会青年委员会副主任委员,中华医学会老年医学分会老年营养不良与肌少症学组委员兼秘书长,北京医师协会老年医学青年医师分会主任委员,北京医学会肠外肠内营养学分会青年委员会副主任委员,中国老年保健医学研究会老年心血管病分会青年委员会常委,荣获第四届“国之名医·优秀风范”荣誉称号,第七届北京优秀医师,第五届“敬佑生命荣耀医者”科普影响力奖,承担并参与多项科技部、北京市科委科研项目及协和医学院教学改革项目,发表在SCI收录期刊及国内核心期刊的论文有60余篇,发明专利4项,担任《中国医学论坛报》老年医学专栏副主编,《协和内科临床》杂志执行主编,主编教材《协和老年医学》《老年医学诊疗常规》《老年医学精要》,主译专业书籍《老年人居家锻炼计划(视频版)》《老年医学临床实践》。Email:kangl@pumch.cn;毕江涵,硕士研究生,Email:bijh1209@126.com。
