营养及康复干预对衰弱与衰弱前期老人的作用

发布时间：2019-05-05 15:34

【摘要】：目的观察干预对老年衰弱综合征(老年衰弱)的改善情况。方法 2013年6~8月选择中国石油天然气集团公司中心医院保健与老年医学科常规体检的254例老人(年龄65~101岁)。每位老人在完成常规体检项目基础上,由专门人员应用老人疾病与功能评估的流程,完成老年衰弱评估。确定处于衰弱及衰弱前期的老人为19人和102人,给予相应的营养及康复锻炼等干预措施。每个月随访1次,3个月后再次评估干预效果。结果衰弱或衰弱前期老人的5项衰弱指标阳性率都在50%以上,提示该5项指标对衰弱的阳性预测价值较高,在衰弱组老人中步速下降的阳性率为100%,对衰弱的诊断价值最高。衰弱前期老人给予干预后3个月的效果明显,减少15人,其中4项衰弱指标在3个月的干预后都明显改善(P0.05),尤其是"自评疲乏明显"及"活动量明显减少"两项发生率的减少尤为显著,在衰弱组中给予积极干预后改善有限。结论衰弱或衰弱前期老人通过营养或(及)康复干预手段可以明显减少衰弱。
[Abstract]:Objective to observe the effect of intervention on senile debilitating syndrome (senile frailty). Methods from June to August, 2013, 254 elderly persons (65-101 years old) in the Department of Health and Geriatrics, Central Hospital of China National Petroleum Corporation (CNPC) were selected. On the basis of completing the routine physical examination items, each elderly person applies the process of disease and function evaluation for the elderly, and completes the assessment of the senile infirmity. It was determined that 19 and 102 old people were in the weak and pre-debilitating stage, and the corresponding nutrition and rehabilitation measures were given. Follow-up was conducted once a month, and the effect of intervention was evaluated again after 3 months. Results the positive rates of the five indexes were all more than 50%, which indicated that the positive rate of the five indexes was higher than that of the old people in the weak group, and the positive rate of the decline of walking speed was 100% in the old people of the weak group, and the positive rate of the decline of walking speed was 100% in the old people of the weak group. The diagnosis of weakness is of the highest value. The effect of 3 months' intervention was obvious, and 15 persons were reduced, among which 4 indexes of weakness were improved significantly after 3 months' intervention (P0.05), and there was no significant difference between the two groups (P < 0.05), but there was no significant difference between the two groups. In particular, the incidence of "self-assessment fatigue" and "obvious decrease in activity" were significantly reduced, and the improvement after active intervention was limited in the weak group. Conclusion the nutrition and / or rehabilitation intervention can significantly reduce the debilitating or pre-debilitating elderly.
【作者单位】：中国石油天然气集团公司中心医院保健与老年医学科;
【分类号】：R592

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