慢性阻塞性肺病的老年人肺部康复和跌倒风险
Matteo Tarasconi1, Federico M Oliva1, Nicolino Ambrosino2
1Division of Pulmonary Rehabilitation, Istituti Clinici Scientifici Maugeri, IRCCS, Tradate, Varese, Italy.
Panminerva medica
|September 15, 2023
概括
肺部康复 (PR) 在所有年龄段的慢性阻塞性肺病 (COPD) 患者中有效降低了跌倒风险. 然而,老年人 (80岁以上) 仍然显示出PR后跌倒的风险较高,需要针对性的干预措施.
科学领域:
- 老年学是一门学科.
- 呼吸系统医学 呼吸系统医学
- 康复科学 康复科学 康复科学
背景情况:
- 关于肺部康复 (PR) 对80岁以上慢性阻塞性肺病 (COPD) 患者跌倒风险的影响的数据有限.
- 这项研究研究了PR在降低老年人 (≥80岁) 跌倒风险方面的有效性,与患有COPD的年轻人相比.
研究的目的:
- 评估肺部康复对老年COPD患者跌倒风险的影响.
- 为了比较PR对80岁以上和80岁以下的COPD患者的跌倒风险和功能结果的有效性.
主要方法:
- 一项回顾性探索性研究,涉及在医院接受肺部康复治疗的个人.
- 跌倒风险主要通过步行速度 (≤0.8米/秒) 进行评估. 二次结果包括运动能力,身体表现,症状和健康状况.
主要成果:
- 与年轻参与者相比,80岁以上的个人表现出更严重的症状,体力表现下降,运动能力较低,跌倒的基线风险较高.
- 肺部康复治疗显著降低了参与者在两年龄组中面临跌倒风险的比例.
- 尽管情况有所改善,53.4%的老年人仍然面临PR后跌倒的风险,而年轻人则为17.5%.
结论:
- 肺部康复有效地降低了跌倒风险,并改善了COPD患者的功能结果,不论年龄.
- 在80岁以上的COPD患者中,很大一部分人在标准PR后仍有跌倒的风险.
- 对老年COPD患者的肺部康复计划应包括具体策略,以进一步减轻跌倒风险.
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