摘要
目的分析老年住院患者的中医体质与营养不良、肌少症、衰弱的相关性。方法本研究为横断面研究。选择2021年11月—2022年5月于天津医科大学第二医院中医科的老年住院患者为研究对象。按照纳入与排除标准,最终收集350例。采用道生医疗“中医体质辨识健康管理系统”辨识患者的中医体质、全球营养领导人发起的营养不良诊断标准共识诊断营养不良、SARC-F量表筛查肌少症、衰弱快速筛查问卷筛查衰弱。采用χ2检验分析中医体质与营养不良、肌少症及衰弱的相关性,计量资料符合正态分布的采用t检验,非正态分布的采用Wilcoxon秩和检验。结果350例患者中,营养不良者占45.7%(160/350),中医体质分布前三位为气虚(110例),阴虚(70例),阳虚、血瘀、气郁(均60例);肌少症者占62.9%(220/350),中医体质分布前三位为气虚(55例),痰湿(35例),阴虚、血瘀(均25例);衰弱者占61.4%(215/350)、中医体质分布前三位为气虚(160例),阴虚(100例),阳虚、血瘀(均80例)。气虚、阳虚、阴虚、血瘀、气郁体质是营养不良的危险因素(P值均<0.05)。气虚、阳虚、阴虚、湿热、血瘀、气郁体质是肌少症的危险因素,平和体质是肌少症的保护因素(P值均<0.05)。气虚、阳虚、阴虚、湿热、血瘀、气郁体质是衰弱的危险因素,平和体质是衰弱的保护因素(P值均<0.05)。结论老年住院患者营养不良、肌少症、衰弱的发生率较高,中医体质以虚证居多;气虚、阳虚、阴虚偏颇体质是营养不良、肌少症、衰弱的危险因素,而平和体质是其保护因素。
Objective To analyze the correlation between traditional Chinese medicine constitution and malnutrition,sarcopenia and frailty in elderly inpatients.Methods This study is a cross-sectional study.Elderly inpatients in the department of traditional Chinese medicine at the Second Hospital of Tianjin Medical University from November 2021 to May 2022 were selected as the research subjects.According to inclusion and exclusion criteria,a total of 350 cases were collected.The"Traditional Chinese Medicine Constitution Identification Health Management System"by DAOSH Medical was used to identify the traditional Chinese medicine constitution of patients,the global nutrition leader initiated the consensus diagnostic criteria for malnutrition,the SARC-F scale screened for sarcopenia,and the frailty rapid screening questionnaire screened for frailty.χ2 test was used to analyze the correlation between traditional Chinese medicine constitution and malnutrition,sarcopenia,and frailty.For normally distributed measurement data,t-test was used,and for non-normally distributed data,the Wilcoxon rank-sum test was used.Results Among the 350 patients,45.7%(160/350)were malnourished,and the top three distributions of traditional Chinese medicine constitution were Qi deficiency(110 cases),Yin deficiency(70 cases),Yang deficiency,Blood stasis,Qi stagnation(all 60 cases);62.9%(220/350)had sarcopenia,and the top three distributions of traditional Chinese medicine constitution were Qi deficiency(55 cases),Phlegm-dampness(35 cases),Yin deficiency,Blood stasis(both 25 cases);61.4%(215/350)were frail,and the top three distributions of traditional Chinese medicine constitution were Qi deficiency(160 cases),Yin deficiency(100 cases),Yang deficiency,Blood stasis(both 80 cases).Qi deficiency,Yang deficiency,Yin deficiency,Blood stasis,Qi stagnation constitution were risk factors for malnutrition(all P<0.05).Qi deficiency,Yang deficiency,Yin deficiency,Damp-heat,Blood stasis,Qi stagnation constitution were risk factors for sarcopenia,and balanced co
作者
曹婧然
刘炜
殷胜骏
罗庆盛
CAO Jingran;LIU Wei;YIN Shengjun;LUO Qingsheng(Department of Nutrition,the Second Hospital of Tianjin Medical University,Tianjin 300211,China;Department of Traditional Chinese Medicine,the Second Hospital of Tianjin Medical University,Tianjin 300211,China)
出处
《中国研究型医院》
2023年第6期43-47,共5页
Chinese Research Hospitals
基金
天津大学资助项目——系统工程与系统论中的中医药现代化及营养体质辨识研究(天津大学系统工程20230908)。
关键词
医学
中国传统
营养不良
肌少症
衰弱
Medicine,Chinese traditional
Malnutrition
Sarcopenia
Frailty
