發(fā)布時(shí)間：2019-05-05 15:34

【摘要】：目的觀察干預(yù)對(duì)老年衰弱綜合征(老年衰弱)的改善情況。方法 2013年6~8月選擇中國(guó)石油天然氣集團(tuán)公司中心醫(yī)院保健與老年醫(yī)學(xué)科常規(guī)體檢的254例老人(年齡65~101歲)。每位老人在完成常規(guī)體檢項(xiàng)目基礎(chǔ)上,由專門人員應(yīng)用老人疾病與功能評(píng)估的流程,完成老年衰弱評(píng)估。確定處于衰弱及衰弱前期的老人為19人和102人,給予相應(yīng)的營(yíng)養(yǎng)及康復(fù)鍛煉等干預(yù)措施。每個(gè)月隨訪1次,3個(gè)月后再次評(píng)估干預(yù)效果。結(jié)果衰弱或衰弱前期老人的5項(xiàng)衰弱指標(biāo)陽(yáng)性率都在50%以上,提示該5項(xiàng)指標(biāo)對(duì)衰弱的陽(yáng)性預(yù)測(cè)價(jià)值較高,在衰弱組老人中步速下降的陽(yáng)性率為100%,對(duì)衰弱的診斷價(jià)值最高。衰弱前期老人給予干預(yù)后3個(gè)月的效果明顯,減少15人,其中4項(xiàng)衰弱指標(biāo)在3個(gè)月的干預(yù)后都明顯改善(P0.05),尤其是"自評(píng)疲乏明顯"及"活動(dòng)量明顯減少"兩項(xiàng)發(fā)生率的減少尤為顯著,在衰弱組中給予積極干預(yù)后改善有限。結(jié)論衰弱或衰弱前期老人通過(guò)營(yíng)養(yǎng)或(及)康復(fù)干預(yù)手段可以明顯減少衰弱。
[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.
【作者單位】： 中國(guó)石油天然氣集團(tuán)公司中心醫(yī)院保健與老年醫(yī)學(xué)科;
【分類號(hào)】：R592

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