1. 首都医科大学附属北京中医医院老年病科
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陈嘉敏, 曾颖平, 李秋慧, 等. 老年女性肌少症患者心肺耐力、日常生活活动能力与中医证型的关系分析[J]. 北京中医药, 2018,37(3):215-218.
CHEN Jia-min, ZENG Ying-ping, LI Qiu-hui, et al. Analysis of correlation between cardiopulmonary endurance and ability of daily living with TCM syndromes in aged women patients with sarcopenia[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(3):215-218.
陈嘉敏, 曾颖平, 李秋慧, 等. 老年女性肌少症患者心肺耐力、日常生活活动能力与中医证型的关系分析[J]. 北京中医药, 2018,37(3):215-218. DOI: 10.16025/j.1674-1307.2018.03.007.
CHEN Jia-min, ZENG Ying-ping, LI Qiu-hui, et al. Analysis of correlation between cardiopulmonary endurance and ability of daily living with TCM syndromes in aged women patients with sarcopenia[J]. Beijing Journal of Traditional Chinese Medicine, 2018,37(3):215-218. DOI: 10.16025/j.1674-1307.2018.03.007.
目的调查老年女性肌肉减少症(简称肌少症)患者心肺耐力和日常生活活动能力,并探讨其与中医证型的相关性。方法筛选老年女性肌少症患者,根据中医辨证分为肝肾不足及脾胃虚弱型2组,行6 min步行试验(6 minute walk test,6MWT)以评估心肺耐力,并用日常生活活动能力评定量表(ADL)进行评估,比较2组握力、步速、相对四肢骨骼肌质量(RASM)、体质指数(BMI)、6MWT、ADL评分的差异,进行相关性分析,并与老年女性非肌少症组进行比较。结果筛查105例老年女性,其中肌少症患者28例(肝肾不足证16例,脾胃虚弱证12例),非肌少症患者77例。与非肌少症组相比,肌少症组的6MWT明显下降(P<0.05),ADL分数较高(P<0.05);6MWT与握力、步速、RASM、BMI存在正相关性、与ADL分数呈负相关。肝肾不足组与脾胃虚弱组比较,2组握力、步速、RASM、BMI、6MWT、ADL差异无统计学意义(P>0.05)。结论老年女性肌少症患者存在不同程度心肺耐力下降,心肺耐力与患者日常生活活动能力呈正相关;老年女性肌少症患者心肺耐力下降将进一步降低患者生活质量;老年女性肌少症中医证型与心肺耐力、日常生活活动能力无明显相关性。
Objective To investigate the cardiopulmonary endurance and ability of daily living( ADL) in aged women patients with sarcopenia and discuss the associations between them with TCM syndromes. Methods The enrolled aged women patients with sarcopenia were divided into two groups: syndrome of liver-kidney deficiency and syndrome of spleen-stomach deficiency. Cardiopulmonary endurance was measured by 6 Minutes Walk Test( 6 MWT) to evaluate the cardiopulmonary endurance and the ability of daily living was assessed by ADL Scale. The factors,including grip strength,walking speed,RASM,BMI,6 MWT,and ADL of two groups,were compared and analyzed in correlation,which were compared with the aged women without sarcopenia.Results 105 aged women,including 28 cases of aged women patients with sarcopenia( 16 cases in liver-kidney deficiency group,12 cases in spleen-stomach deficiency group) together with 77 cases of non-sarcopenia patients were recruited in the study. Compared with the non-sarcopenia group,the distance of 6 MWT were decreased significantly( P < 0. 05) and ADL scores were higher( P < 0. 05) in sarcopenia group. There was a positive correlation between 6 MWT and other factors including grip strength,walking speed,RASM,and BMI. A negative correlation was displayed between 6 MWT with ADL scores. Between group of liver-kidney deficiency and group of spleen-stomach deficiency,there were no statistical significances presented in their grip strength, walking speed, RASM, BMI,6 MWT,and ADL( P > 0. 05). Conclusion There was more or less a decline of cardiopulmonary endurance in elderly women patient with sarcopenia. A positive relationship was presented between cardiopulmonary endurance and the ability of daily living. The decline of cardiopulmonary endurance in elderly women sarcopenia may further reduce the quality of lives. There are no significant correlation between cardiopulmonary endurance and ability of daily living with TCM syndromes in elderly women sarcopenia.
老年人肌少症中医证型心肺耐力日常生活活动能力
geriatricssarcopeniaTCM syndromescardiopulmonary enduranceability of daily Living
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