北京市城乡1018名老年居民衰弱的现况调研及中医证候分析  

Investigation of current condition of frailty of 1018 elderly residents in Beijing and analysis of TCM syndromes

作　　者：关欣[1] 王斗 乔琳琳[3] 艾双双 石杨 王秀芝 李怡[3] GUAN Xin;WANG Dou;QIAO Lin-lin;AI Shuang-shuang;SHI Yang;WANG Xiu-zhi;LI Yi(The Second Inpatient Department,Beijing Hospital,National Center of Gerontology,Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 102488,China;Department of Traditional Chinese Medicine,Beijing Hospital,National Center of Gerontology,Institute of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730,China;Xinjiekou Community Health Service Center of Beijing,Beijing 100035,China;Sanjianfang Community Health Service Center of Chaoyang District,Beijing 100024,China;Beijing Chinese Medicine Hospital Pinggu Hospital,Beijing 101200,China)

机构地区：[1]北京医院第二住院部管理处,国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [2]北京中医药大学护理学院,北京102488 [3]北京医院中医科,国家老年医学中心,中国医学科学院老年医学研究院,北京100730 [4]北京市新街口社区卫生服务中心,北京100035 [5]北京市朝阳区三间房社区卫生服务中心,北京100024 [6]北京中医医院平谷医院,北京101200

出　　处：《中华中医药杂志》2020年第10期5210-5213,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：首都临床特色应用研究与成果推广(No.Z171100001017102);北京中医药科技发展资金项目(No.JJ2018-74)。

摘　　要：目的:调研并分析北京市城乡老年居民的衰弱现状及相关中医证候分布情况。方法:采用便利抽样法选取2018年7月至2019年3月在北京市城区某社区卫生服务站或北京市平谷区某村就诊或健康查体的共1018名城乡老年人,分别应用FI-IM量表和FI-CGA量表评估衰弱指数。结果:经FI-CGA量表评估提示无衰弱老年人370人(36.35%),衰弱前期515人(50.59%),衰弱133人(13.06%);衰弱指数男性(中值0.14)低于女性(中值0.16),随年龄增长衰弱指数逐渐升高,城市社区居民(中值0.24)高于农村居民(中值0.17)(P<0.01)。经FI-IM量表评估提示中医主要证候为虚实夹杂,且兼夹证数量递增则衰弱指数增高(P<0.01)。结论:我国城乡老年居民衰弱发生率高,衰弱指数与性别、年龄、城乡居住地相关,衰弱相关中医证候以虚实夹杂为主,并随中医兼夹证候数量增多,衰弱指数增大。Objective:To investigate and analyze the frailty of urban and rural elderly residents in Beijing and the distribution of related TCM syndromes.Methods:From July 2018 to March 2019,a total of 1018 elderly people in urban and rural areas who visited a community health service station in urban Beijing or a village in Pinggu district of Beijing for medical treatment or physical examination were selected.They were evaluated for frailty index by the FI-IM scale and FI-CGA scale.Results:The FI-CGA scale suggested there were 370 healthy elderly people(36.35%),515 early frailty stage people(50.59%)and 133 frailty stage people(13.06%).The frailty index of male(median 0.14)was lower than that of female(median 0.16).The frailty index gradually increased with age.The FI-IM scale suggested the median of urban community residents(median 0.24)was greater than that of rural residents(median 0.17)(P<0.01).The FI-IM scale pointed out the main syndrome of TCM was the mixture of deficiency and excess.The frailty index increased with the number of syndromes(P<0.01).Conclusion:The incidence rate of frailty is high among elderly residents in urban and rural areas in China.Frailty index is related to gender,age and residence in urban and rural areas.The syndrome of TCM related to frailty mainly consists of deficiency and excess.With the increase in the number of TCM syndromes,the frailty index increased.

关 键 词：老年 衰弱 衰弱指数 中医 证候 老年综合评估 现状分析 

分 类 号：R259[医药卫生—中西医结合]