综合干预对肌少症患者生活质量及预后的影响研究

发布时间：2018-02-15 06:04

本文关键词： 肌少症老年综合评估有氧运动营养支持　出处：《中国现代医学杂志》2016年23期 　论文类型：期刊论文

【摘要】：目的探讨综合干预改善肌少症患者生活质量及预后。方法将该院老年科住院的肌少症患者随机分成两组,每组各25例,分别为干预组和宣教组,干预组进行包括有氧运动、营养支持、肌少症宣教等综合干预,宣教组仅进行肌少症宣教,随访半年,观察患者生活质量及预后改善情况。生活质量包括:骨骼肌指数(ASMI)、步速、握力、日常生活活动能力(ADL)、工具性日常生活活动能力(IADL)等。预后包括:跌倒、非计划再住院、全因死亡等。结果干预组与宣教组ASMI比较,差异有统计学意义(P0.05)。干预组与宣教组步速比较,差异有统计学意义(P0.05)。干预组与宣教组握力比较,差异有统计学意义(P0.05)。干预组与宣教组ADL比较,差异有统计学意义(P0.05)。干预组与宣教组IADL比较,差异有统计学意义(P0.05)。干预组跌倒3例,宣教组9例,差异有统计学意义(P0.05)。干预组非计划再住院4例,宣教组非计划再住院11例,差异有统计学意义(P0.05)。两组均未发生全因死亡。结论肌少症患者经过综合干预,能够明显改善生活质量,能够改善预后。
[Abstract]:Objective to explore the comprehensive intervention to improve the quality of life and prognosis of the patients with myasthenia. Methods the patients in the geriatric department of our hospital were randomly divided into two groups, 25 patients in each group, respectively, intervention group and propaganda group, the intervention group carried on including aerobic exercise. Nutritional support, hypomatosis education and other comprehensive interventions were performed in the missionary group, followed up for half a year to observe the quality of life and the prognosis of the patients. The quality of life included: skeletal muscle index, step speed, grip strength, and so on. Activity of daily living (ADL), instrumental activity of daily living (ADL), etc. The prognosis included fall, unplanned hospitalization, death, etc. Results ASMI in intervention group was compared with that in preaching group. The difference was statistically significant (P 0.05). There was a significant difference between the intervention group and the propaganda group (P 0.05). There was a significant difference in grip strength between the intervention group and the mission group (P 0.05). The ADL between the intervention group and the mission group was higher than that of the control group. There was significant difference in IADL between the intervention group and the preaching group (P 0.05). The intervention group fell down in 3 cases, the propaganda group in 9 cases, the difference was statistically significant (P 0.05). The intervention group had no planned hospitalization in 4 cases, and the missionary group in 11 cases. The difference was statistically significant (P 0.05). There was no all-cause death in the two groups. Conclusion the comprehensive intervention can improve the quality of life and the prognosis of the patients with hypomuscular disease.
【作者单位】：辽宁省大连市友谊医院老年病科;
【基金】：辽宁省大连市科技计划项目(No:2014E14SF153)
【分类号】：R685

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