关节骨折手术后的康复改善了有或没有sarcopenia的患者的身体和认知功能
Yuji Kanaya1,2, Hirokazu Inoue1, Hideaki Sawamura1
1Department of Orthopaedics, Jichi Medical University, Shimotsuke, Japan.
Geriatric orthopaedic surgery & rehabilitation
|June 16, 2023
概括
肌肉损失的疾病 - - 萨尔科佩尼亚 - - 在关节骨折患者中很普遍. 与没有肉类症的人相比,那些患有肉类症的人在康复后表现出较差的身体和认知功能.
科学领域:
- 老年学是一门学科.
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
背景情况:
- 麻症是导致老年人落,骨折和死亡的重要危险因素.
- 它会对身体功能产生负面影响,在老年人中很常见.
研究的目的:
- 为了确定骨折手术后接受康复的患者中骨折的患病率.
- 调查萨科佩尼亚与身体和认知功能结果之间的关联.
主要方法:
- 一项病例控制研究包括了132名接受康复治疗的关节骨折患者.
- 骨肌肉质量指数使用DXA进行评估,并使用2019年AWGS标准诊断了肉症.
- 在入院和出院时,sarcopenic和非sarcopenic组之间的步行速度,MMSE和FIM得分进行了比较.
主要成果:
- 在被研究的患者中,肉类的患病率为59.8%.
- 两组人都在康复后表现出改善的身体和认知功能,但患有肉症的患者的得分始终较低.
- 非sarcopenic患者的步行速度,MMSE和FIM得分明显好于sarcopenic患者在入院和出院时.
结论:
- 在从关节骨折手术中康复的患者中,萨尔科佩尼亚的患病率很高.
- 萨科佩尼亚与身体和认知功能结果明显恶化有关,即使在康复后也是如此.
- 早期识别和治疗缩症可能对改善关节骨折患者的康复至关重要.
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