住院老年患者衰弱综合征与下肢运动功能的相关性分析  

Correlation analysis of frailty syndrome and lower limb motor function in hospitalized elderly patients

作　　者：淳雪丽 彭春兰[2] 李茜[2] 胡翠林[2] 周倩云 徐沁悦 梁玉祥 黄文霞 CHUN Xueli;PENG Chunlan;LI Qian;HU Cuilin;ZHOU Qianyun;XU Qinyue;LIANG Yuxiang;HUANG Wenxia(West China School of Nursing,Sichuan University/Center of Gerontology and Geriatrics,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Center of Gerontology and Geriatrics,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Department of Rehabilitation Medicine,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Health Management Center,General Practice Medical Center,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu,Sichuan 610041,P.R.China)

机构地区：[1]四川大学华西护理学院/四川大学华西医院老年医学中心/干部医疗科,成都610041 [2]四川大学华西医院老年医学中心/干部医疗科,成都610041 [3]四川大学华西医院康复医学科/康复医学中心,成都610041 [4]四川大学华西医院全科医学中心/健康管理中心/四川大学华西护理学院,成都610041

出　　处：《华西医学》2024年第1期42-47,共6页West China Medical Journal

基　　金：四川省干部保健科研项目(川干研2017-108)。

摘　　要：目的探讨住院老年患者衰弱综合征与下肢运动功能的相关性。方法采用便利抽样法,于2022年12月—2023年5月选取四川大学华西医院老年医学中心65岁及以上住院患者。采用衰弱评估量表、简易机体功能评估量表(Short Physical Performance Battery,SPPB)、“起立-行走”测试(Timed Up and Go Test,TUGT)对其衰弱程度、下肢运动功能进行评估,并探索衰弱与下肢运动功能的相关性。结果共纳入老年患者501例,男325例(64.9%),女176例(35.1%);衰弱256例(51.1%),衰弱前期161例(32.1%),非衰弱84例(16.8%)。住院老年男性患者衰弱的发生率高于女性患者(P<0.05);80~99岁年龄段患者的衰弱发生率高于65~79岁(P<0.05)。Spearman相关分析结果显示,SPPB各维度与衰弱均呈负相关(P<0.001)、TUGT与衰弱呈正相关(r=0.776,P<0.001)。多重线性回归分析结果显示,下肢运动功能越差,衰弱得分越高。结论住院老年患者衰弱综合征与下肢运动功能关系密切,在临床中可采用下肢运动功能评估预测衰弱的发生,并可通过提高下肢运动功能的针对性干预措施以改善老年患者的衰弱程度。Objective To analyze the correlation between frailty syndrome and lower limb motor function in hospitalized elderly patients.Methods Convenience sampling method was used to select inpatients aged 65 and above from the Center of Gerontology and Geriatrics of West China Hospital,Sichuan University between December 2022 and May 2023.The FRAIL Scale,Short Physical Performance Battery(SPPB),and Timed Up and Go Test(TUGT)were used to evaluate the degree of frailty and lower limb motor function,and to explore the correlation between frailty and lower limb motor function.Results A total of 501 elderly patients were included,including 325 males(64.9%)and 176 females(35.1%);256 cases of frailty(51.1%),161 cases of pre-frailty(32.1%),and 84 cases of non-frailty(16.8%).The incidence of frailty in hospitalized elderly male patients was higher than that in female patients(P<0.05);The incidence of frailty in patients aged 80-99 was higher than that in patients aged 65-79(P<0.05).The Spearman correlation analysis results showed that all dimensions of SPPB were negatively correlated with frailty(P<0.001),while TUGT was positively correlated with frailty(r=0.776,P<0.001).The results of multiple linear regression analysis showed that the worse the motor function of the lower limbs,the higher the debilitation score.Conclusions Frailty syndrome in hospitalized elderly patients is closely related to lower limb motor function.Lower limb motor function assessment can be used to predict the onset of frailty in clinical practice,and interventions to improve lower limb motor function can be used to improve the frailty of elderly patients.

关 键 词：住院老年人 衰弱 下肢运动功能 

分 类 号：R592[医药卫生—老年医学]