住院老年患者肌肉减少症与踝臂指数的相关性研究

发布时间：2019-04-01 14:01

【摘要】：目的探讨住院老年患者肌肉减少症与踝臂指数(ABI)的相关性方法根据双能X线(DXA)检查、握力、6米步行速度测定将受试者分为肌肉减少症组和对照组,比较组间ABI的差异,并进行相关性分析。结果:与对照组相比,肌肉减少症组的ABI明显下降(P0.01),ABI与握力、6米步行速度、四肢肌肉质量/身高2(ASM/H2)呈正相关性,多因素Logistic回归分析示ABI异常是握力下降、6米步行速度减慢的独立危险因素(OR=3.242,P=0.02;OR=2.612,P=0.008),但与ASM/H2之间不存在独立相关性。结论:ABI异常是握力下降、6米步行速度减慢的独立危险因素,ABI可反映肌肉减少症患者的肌肉功能。
[Abstract]:Objective To study the correlation between the muscle-reduction and the ankle-arm index (ABI) in the elderly in the elderly. According to the double-energy X-ray (DXA) test, the holding force and the 6-meter walking speed measurement, the subjects were divided into a muscle reduction group and a control group, and the difference of ABI between the two groups was compared, and the correlation analysis was performed. Results: Compared with the control group, the ABI of the muscle reduction group decreased significantly (P0.01), the ABI and the grip force, the 6-meter walking speed, the four-limb muscle mass/ height 2 (ASM/ H2) were positive correlation, and the multi-factor logistic regression analysis showed that the ABBI was an independent risk factor (OR = 3.242, P = 0.02, P = 0.02; OR = 2.612, P = 0.008), but there was no independent correlation with ASM/ H2. Conclusion: The ABBI is an independent risk factor of the decrease of the grip strength and the slow walking speed of 6 m, and the ABI can reflect the muscle function of the muscle-reducing patients.
【学位授予单位】：重庆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R685

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