血清的改善:在患有低血症的老年患者中,综合老年学评估参数的变化
M Kapoor1, M Pathania2, M Dhar2
1Department of Internal Medicine, All India Institute of Medical Sciences (AIIMS), Rishikesh, 249203, India. mkapoorsonu@yahoo.co.in.
BMC geriatrics
|October 17, 2023
概括
在老年患者中纠正低血症可显著改善他们的生活质量. 改善的血清水平导致日常生活活动,移动性和认知功能的得分更好.
科学领域:
- 老年医学 老年医学
- 内分泌学 在内分泌学.
- 神经学 神经学
背景情况:
- 老年人的低血常常呈现出症状,误认为与年龄相关的衰退.
- 这项研究研究了低血调整对老年患者评估参数的影响.
研究的目的:
- 在住院老年患者的低血改善后,评估综合老年评估 (CGA) 参数的变化.
- 为了评估低血症严重程度与基线CGA得分之间的相关性.
主要方法:
- 一项涉及100名低血压和100名高血压老年患者 (年龄>60岁) 的比较研究,对并发症,投诉和年龄进行了匹配.
- 使用了四个CGA参数:印度语心理状态检查 (HMSE),巴特尔的日常生活活动指数 (ADL),定时上下测试 (TUG) 和手握强度 (HG).
- 分析了入院和出院时的CGA参数,将变化与血清度相关联.
主要成果:
- 与eunatremic组相比,低血症患者的基线CGA参数明显较差.
- 低血症的严重程度与较差的运动和认知功能相关.
- 与对照组相比,血清水平的改善导致低血症组的ADL,TUG和HMSE得分的更大改善 (P <0.05).
结论:
- 低血症与老年人的功能状况下降有关.
- 纠正低血症显著改善了老年患者的认知,运动和日常生活活动.
- 这项研究强调了解决低血症的重要性,以提高老年人的生活质量.
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