手握强度和脱水二二硫酸在脆弱性单元:一个回顾性研究
Daniano Caires1, Miguel Homem Costa2, João Miguel Freitas2
1Physical Medicine and Rehabilitation, Hospital Central do Funchal, Funchal, PRT.
Cureus
|October 21, 2024
概括
脆弱性与较低的手握强度 (HGS) 有关,而不是脱氨硫酸 (DHEAS). 测量HGS可以帮助识别有针对性的干预措施的脆弱个体.
科学领域:
- 老年学是一门学科.
- 内分泌学 在内分泌学.
- 康复医学 康复医学 康复医学
背景情况:
- 虚弱是一种复杂的疾病,其特点是身体,精神和社会活动减少,导致不良健康结果.
- 虚弱的关键组成部分包括营养状况,肌肉强度,炎症和荷尔蒙变化,而硫酸脱氨 (DHEAS) 是一个有趣的激素.
- 手握强度 (HGS) 作为整体肌肉强度的代理,以及疲劳,抵抗,行走,疾病和体重减轻 (FRAIL) 尺度是脆弱查的工具.
研究的目的:
- 调查葡萄牙脆弱性单位 (FU) 中患者的脆弱性,HGS和DHEAS之间的联系.
- 为了确定DHEAS水平是否与脆弱状态或HGS测量相关.
- 通过FRAIL尺度来评估HGS和脆弱性之间的关系.
主要方法:
- 在FU中进行了一项观察性回顾性研究,涉及接受康复计划的患者.
- 使用FRAIL尺度评估脆弱性,并在入院时测量DHEAS水平.
- 在入院 (i-HGS) 和出院 (f-HGS) 时测量HGS,同时考虑HGS变化 (∆ HGS) 和停留时间.
主要成果:
- 与非脆弱患者相比,脆弱患者 (FRAIL尺度得分≥3) 的i-HGS和f-HGS显著降低.
- DHEAS水平与脆弱状态,FRAIL尺度类别或HGS测量没有显著关联.
- 较低的i-HGS独立地与脆弱性相关,每公斤的i-HGS增加将脆弱的概率降低15%.
结论:
- 虚弱的患者表现出降低的HGS和更长的停留时间在FU.
- 这项研究没有发现脆弱性和DHEAS之间的关联,也没有发现DHEAS和HGS之间的相关性.
- 在FU中实施FRAIL尺度查和HGS测量可以帮助识别脆弱个体并指导多学科干预.
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