实用老年医学

实用老年医学 ›› 2021, Vol. 35 ›› Issue (8): 845-848.doi: 10.3969/j.issn.1003-9198.2021.08.014

• 临床研究 • 上一篇    下一篇

老年舒张性心力衰竭合并肌少症病人的临床特征

赵文雪, 范天舒, 卢妙, 王向明, 查志敏, 郭妍   

  1. 210003 江苏省南京市,南京医科大学第二附属医院老年心血管科(赵文雪);
    210024 江苏省南京市,江苏省老年病医院全科医学科(范天舒);
    210029 江苏省南京市,南京医科大学第一附属医院老年心血管科(卢妙,王向明,查志敏,郭妍)
  • 收稿日期:2020-09-09 出版日期:2021-08-20 发布日期:2021-08-30
  • 基金资助:
    江苏省干部保健科研课题(BJ18017)

Clinical characteristics of elderly patients with diastolic heart failure complicated with sarcopenia

ZHAO Wen-xue, FAN Tian-shu, LU Miao, WANG Xiang-ming, ZHA Zhi-min, GUO Yan   

  1. ZHAO Wen-xue. Department of Gerontology, the Second Affiliauted Hospital of Nanjing MedicalUniversity,Nanjing 210003, China;
    FAN Tian-shu.General Practice, Jiangsu Proince Geriatric Hospital, Nanjing 210024,China;
    LU Miao, WANG Xiang-ming, ZHA Zhi-min, GUO Yan. Department of Gerontology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029，China
  • Received:2020-09-09 Online:2021-08-20 Published:2021-08-30

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摘要： 目的 探讨老年舒张性心力衰竭(DHF)合并肌少症病人的临床特征,分析肌少症对DHF病人躯体活动能力的影响。 方法 纳入符合条件的住院病人120例,分为肌少症组和非肌少症组,比较2组一般临床资料、骨骼肌质量指数(SMI)、握力、4 m步行速度,以步速＜0.8 m/s定义为躯体活动能力降低。采用Logistic回归分析躯体活动能力下降的危险因素。 结果 DHF病人中54.17%合并肌少症。和非肌少症组对比,肌少症组的BMI、TG、SMI、握力、4 m步行速度明显降低,年龄偏大(P<0.05)。Logistic回归分析显示,年龄、脑梗死、SMI是躯体活动能力下降的独立影响因素。 结论 肌少症是老年DHF病人常见的合并症,年龄、脑梗死、SMI均会影响病人躯体活动能力,从而影响其生存质量。

关键词: 老年人, 舒张性心力衰竭, 肌少症, 躯体活动能力

Abstract: Objective To investigate the clinical characteristics of the elderly patients with diastolic heart failure (DHF) complicated with sarcopenia, and to analyze the effect of sarcopenia on physical activity. Methods A total of 120 eligible inpatients were included and divided into the sarcopenia group (n=65) and the non-sarcopenia group (n=55). The general clinical data, skeletal muscle mass index (SMI), grip strength, walking speed of 4 m in two groups were compared. Physical acticity decreasing was identified as 4 m walking speed less than 0.8 m/s. Logistic regression analysis was used to analyze the risk factors of physical activity decreasing. Results In the DHF patients, 54.17% patients were complicated with sarcopenia. Compared with the non-sarcopenic group, the body mass index(BMI), tridlyceride(TG), SMI, grip strength and the walking speed of 4 m in the sarcopenia group were significantly decreased, and the age was older(P<0.05). Logistic regression analysis showed that the age, cerebral infarction and SMI were independent influencing factors for decreased physical activity. Conclusions Sarcopenia is a common complication in DHF patients. Age, cerebral infarction and SMI will influence the patients’ physical activity ability, thus affecting their quality of life.

Key words: aged, diastolic heart failure, sarcopenia, physical activity

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