脑卒中后患者的肉类:患病率和相关因素
Rio Ikeji1, Masafumi Nozoe2, Miho Yamamoto3
1Department of Rehabilitation, Itami Kousei Neurosurigcal Hospital, Itami, Japan.
Clinical neurology and neurosurgery
|August 2, 2023
概括
麻症在出院时影响了三分之一的中风患者. 老年,严重的中风,低BMI和吞问题与中风后的肉症有关.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 康复医学 康复医学 康复医学
背景情况:
- 随着年龄的增长,骨肌肉质量和功能的丧失,即萨尔科佩尼亚,在老年人群中越来越令人担忧.
- 脑卒中是一个重要的神经事件,可以加剧肌肉损失和影响恢复.
- 了解中风后的肉类的患病率对于有针对性的干预至关重要.
研究的目的:
- 为了确定急性中风后患者中症的患病率.
- 在急性住院期间,在这个患者队列中确定与肉类相关的因素.
主要方法:
- 一项前性观察队列研究,涉及286名急性中风患者.
- 通过生物电阻分析评估骨肌肉质量;在医院出院时评估肌肉力量.
- 根据亚洲肉病工作组 (AWGS) -2019标准诊断的肉病;用于因子分析的后勤回归.
主要成果:
- 脑卒中后肉症的患病率为32.5% (在286名参与者中93名).
- 年龄较大 (aOR: 1.10),国家卫生研究院中风量表得分较高 (aOR: 1.15),体重指数 (BMI) 较低 (aOR: 0.73),功能性口服摄入量表得分较低 (aOR: 0.67) 与肉症有显著的关联.
- 在逻辑回归模型中,这些因素仍然独立地与肉眼有关.
结论:
- 近三分之一的患者经历了急性中风后在出院时出现缩症.
- 关键的相关因素包括晚年,中风严重程度,低BMI和吞功能受损.
- 这些发现凸显了对中风幸存者中 Sarcopenia 的早期查和管理的需要.
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