下肢动脉疾病在老年肌少症患者中的临床特点及相关因素分析  

Clinical characteristics and related factors of lower extremity artery disease in elderly patients with sarcopenia

作　　者：王丽丽[1] 孙林芳 丁薇佳 金丽盈 邵明哲[2] Wang Lili;Sun Linfang;Ding Weijia;Jin Liying;Shao Mingzhe(Department of Geriatric,the Sixth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200233,China;Department of General Surgery,the Sixth People's Hospital affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200233,China)

机构地区：[1]上海交通大学医学院附属第六人民医院老年病科,上海200233 [2]上海交通大学医学院附属第六人民医院普外科,上海200233

出　　处：《血管与腔内血管外科杂志》2025年第1期72-75,84,共5页Journal of Vascular and Endovascular Surgery

基　　金：上海市第六人民医院院级科学研究基金(X-4878)。

摘　　要：目的 探讨下肢动脉疾病在老年肌少症患者中的临床特点及其相关因素。方法 收集2020年6月至2023年6月上海交通大学医学院附属第六人民医院收治的98例老年肌少症患者的临床资料,按照住院期间下肢动脉超声检查结果将其分为观察组(n=41,发生下肢动脉疾病)和对照组(n=57,未发生下肢动脉疾病),统计老年肌少症患者发生下肢动脉疾病的临床特点,分析老年肌少症患者发生下肢动脉疾病相关的因素。结果 观察组患者糖尿病、高血压、吸烟、从事脑力劳动的比例均高于对照组患者,差异均有统计学意义(P<0.05)。观察组患者中下肢动脉硬化闭塞12例,下肢动脉硬化狭窄29例。观察组患者平均踝臂指数为(0.72±0.13),低于对照组患者的(0.94±0.11),差异有统计学意义(P<0.01)。多因素Logistic回归模型分析结果显示,糖尿病、高血压、吸烟、从事脑力劳动者均与老年肌少症患者发生下肢动脉疾病密切相关(P<0.05)。结论 老年肌少症患者发生下肢动脉疾病的比例较高,糖尿病、高血压、吸烟、从事脑力劳动均是老年肌少症患者发生下肢动脉疾病的影响因素,临床实践中可据此筛选发生下肢动脉疾病的高危人群,为临床防治提供参考。Objective To investigate the clinical characteristics and related factors of lower extremity artery disease in elderly patients with sarcopenia.Method Clinical data of 98 elderly patients with sarcopenia admitted to the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from June 2020 to June 2023 were collected.According to the results of lower extremity artery ultrasound examination during hospitalization,they were divided into observation group(n=41,with lower extremity artery disease)and control group(n=57,without lower extremity artery disease).The clinical characteristics of lower extremity artery disease in senile patients with sarcopenia were analyzed,and the related factors were analyzed.Result The proportions of diabetes,hypertension,smoking and mental work in observation group were higher than those in control group,the differences were statistically significant(P<0.05).In the observation group,there were 12 cases of lower extremity arteriosclerosis and occlusion,29 cases of lower extremity arteriosclerosis and stenosis.The average ankle and arm index of observation group was(0.72±0.13),which was lower than that of control group(0.94±0.11),the difference was statistically significant(P<0.01).Multivariate Logistic regression model analysis showed that diabetes,hypertension,smoking and mental workers were closely related to lower extremity artery disease in elderly patients with sarcopenia(P<0.05).Conclusion The proportion of lower extremity artery disease in elderly patients with sarcopenia is high.Diabetes,hypertension,smoking and mental work are all factors affecting lower extremity artery disease in elderly patients with sarcopenia.In clinical practice,the population with high incidence of lower extremity artery disease can be screened with accordingly,which can provide reference for clinical prevention and treatment of elderly patients.

关 键 词：老年 肌少症 下肢动脉疾病 

分 类 号：R543[医药卫生—心血管疾病]