尾骨肌肉质量与萨尔科佩尼亚相关,作为缺血性中风中功能不良结果的预测因素
Sang-Hun Lee1, Hangseok Choi2, Keon-Yeup Kim1
1Department of Neurology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, South Korea.
Clinical interventions in aging
|July 10, 2023
概括
在急性缺血性中风患者中,早期查肉类症预示着功能表现不佳. 低骨肌肉质量与更糟糕的恢复有关,这凸显了早期干预对中风幸存者的重要性.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 康复医学 康复医学 康复医学
背景情况:
- 麻症,或与年龄相关的肌肉损失,影响中风恢复.
- 在中风后早期发现肉类是预测功能预后的关键.
研究的目的:
- 为了预测急性缺血性中风患者的功能结果,使用早期的肉症查.
- 调查早期发现的肉类对功能预后的影响.
主要方法:
- 急性缺血性中风患者在症状出现后2天内被纳入.
- 用双能X射线吸收计测量尾骨肌肉质量 (ASM).使用双能X射线吸收计测量.
- 根据亚洲麻症工作组 (AWGS) 和欧洲老年麻症工作组 (EWGSOP2) 的标准,诊断出了麻症.
主要成果:
- 32.8% (AWGS) 和26.6% (EWGSOP2) 的患者患有肉症.
- 萨科佩尼亚与较高比例的功能不良结果和全因死亡率有关.
- 高度调整的ASM独立预测了功能不良的结果 (OR:0.61;P <0.005).
结论:
- 高度调整的ASM和肉眼是中风后3个月功能表现不佳的潜在预测因素.
- 由于研究的局限性,需要进一步的研究来证实这些发现.
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