萨尔科佩尼克缩症复习:住院老年患者的横截面研究
Marcel Calles1, Rainer Wirth1, Bendix Labeit2
1Department of Geriatric Medicine, Marien Hospital Herne, Ruhr University Bochum, 44625 Herne, Germany.
Nutrients
|June 28, 2023
概括
口腔喉乱 (OD) 在老年人中很常见. 这项研究没有发现缩症和OD之间有显著联系,质疑老年患者的"缩症缩症"的概念.
科学领域:
- 老年医学 老年医学
- 神经学 神经学
- 营养科学 营养科学
背景情况:
- 口腔喉功能障碍 (OD) 是老年患者常见的疾病,导致像吸气性肺炎这样的严重并发症.
- 随着年龄的增长而导致的肌肉损失 - - 萨科佩尼亚 (sarcopenia) 被认为是OD的原因,称为OD.
- 萨尔科佩尼克缩症是什么意思
- 但这种联系需要客观验证.
研究的目的:
- 客观地评估萨尔科佩尼亚和OD之间的关联,使用灵活的内镜吞评估 (FEES).
- 调查急性护理老年患者中OD和萨科佩尼亚的患病率.
- 为了确定是否存在纯粹的sarcopenic不消化症.
主要方法:
- 对109名怀疑有OD的老年患者进行了回顾性横截面研究.
- 使用FEES对OD的客观评估.
- 使用生物阻抗分析 (BIA) 评估肉症.
主要成果:
- 观察到神经疾病 (95%),肉症 (70%) 和中度至重度OD (45%) 的高患病率.
- 没有发现OD和萨科佩尼亚之间存在显著的关联.
- 纯粹的sarcopenic dysphagia的概念并没有得到研究结果的支持.
结论:
- 在这种老年人群中,sarcopenia和OD之间提出的关联以及纯粹的sarcopenic dysphagia的存在是值得怀疑的.
- 需要进一步的前性研究,以澄清肉症在OD发展中的作用,将其与严重疾病的简单后果区分开来.
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