《中西医结合老年衰弱评估量表》的临床应用  

Clinical application of Elderly Frailty Assessment Scale of Integrative Medicine

作　　者：乔琳琳[1] 闫小光[1] 黄飞[1] 王宝[1] 范婷[1] 高琰[1] 陈雪楠[1] 王小岗[1] 张丹静[1] 李晔[1] 李怡[1] QIAO Lin-lin;YAN Xiao-guang;HUANG Fei;WANG Bao;FAN Ting;GAO Yan;CHEN Xue-nan;WANG Xiao-gang;ZHANG Dan-jing;LI Ye;LI Yi(Department of Traditional Chinese Medicine, Beijing Hospital, National Center of Gerontology, P. R. China, Beijing 100730, China)

机构地区：[1]北京医院中医科国家老年医学中心,北京100730

出　　处：《北京中医药》2018年第3期206-208,共3页Beijing Journal of Traditional Chinese Medicine

基　　金：北京市科委"首都临床特色应用研究"项目(Z171100001017102)

摘　　要：目的采用《中西医结合老年衰弱评估量表》评估老年住院患者的衰弱状况,探讨适合中国老年人特点的衰弱评估方法。方法收集填写108例老年住院患者的临床资料,根据《中西医结合老年衰弱评估量表》计算中西医结合衰弱积分(中西医FI),根据《FI-CGA量表》计算衰弱积分(综合FI),根据《CFS-09表》计算衰弱分级。比较3种评估方法的相关性,进一步比较不同性别、年龄、住院天数、住院费用患者的衰弱状况。结果本研究纳入的老年患者中西医FI平均值为(0.28±0.15)分、综合FI的平均值为(0.23±0.08)分、衰弱分级平均值为(3.44±1.01)分;男女性别中西医FI、综合FI、衰弱分级比较差异无统计学意义(P>0.05);随年龄增长、住院天数增加、住院费用增加,中西医FI、综合FI、衰弱分级均明显增加,差异均有统计学意义(P<0.05);经相关性分析,中西医FI与综合FI、衰弱分级均呈正相关(P<0.05),综合FI与衰弱分级呈正相关(P<0.05)。结论《中西医结合老年衰弱评估量表》评估结果符合临床实际,基本反映了本组住院老年患者的衰弱状态。Objective To establish frailty assessment method suitable to Chinese elderly with Elderly Frailty Assessment Scale of Integrative Medicine to evaluate the frail state of elderly inpatients. Methods The frail status of 108 elderly inpatients was evaluated by using geriatric assessment of Integrative Medicine（ FI-TCM）,comprehensive geriatric assessment（ FI-CGA）,and clinical frailty scale（ CFS-09）. Frailty index was calculated. The correlation between FI-TCM value,FI-CGA value and CFS-09 level of the inpatients was compared,as well as the frailty state of inpatients with different sex,age,hospitalization days and costs. Results The mean value of FI-TCM was 0. 28 ± 0. 15,FI-CGA was 0. 23 ± 0. 08,and the average level of CFS-09 was 3. 44 ± 1. 01. The difference of FI-TCM,FI-CGA and CFS-09 of male and female had no statistical significance（ P〈0. 05）. The FI-TCM value,FI-CGA value,and CFS level increased with age,hospitalization days,hospitalization costs; the differences had statistical significance（ P〈0. 05）. There was a positive correlation between FI-TCM value,FI-CGA value,and CFS-09 level（ P〈0. 05）,and a positive correlation between FI-TCM value and CFS-09 level. Conclusion Elderly Frailty Assessment Scale of Integrative Medicine is an effective model for the quantitative evaluation of the frail state of elderly inpatients,and can be used for the clinical practice of geriatric medicine.

关 键 词：中西医结合 老年衰弱 评估 量表 衰弱指数 临床应用 

分 类 号：R592[医药卫生—老年医学]