老年肌少症住院病人合并吞咽功能障碍的影响因素分析

doi:10.3969/j.issn.1003-9198.2022.06.021

实用老年医学 ›› 2022, Vol. 36 ›› Issue (6): 632-635.doi: 10.3969/j.issn.1003-9198.2022.06.021

老年肌少症住院病人合并吞咽功能障碍的影响因素分析

薄莹莹, 莫永珍, 欧阳晓俊, 沈晓星, 朱海琼, 王洁, 刘小芹, 刘媚丽, 刘欢, 许家仁

210024 江苏省南京市,南京医科大学护理学院(薄莹莹);
210024 江苏省南京市,南京医科大学附属老年医院(莫永珍,欧阳晓俊,沈晓星,朱海琼,王洁,刘小芹,刘媚丽,许家仁);
215006 江苏省苏州市,苏州大学医学部护理学院(刘欢)

收稿日期:2021-11-03 出版日期:2022-06-20 发布日期:2022-06-30
通讯作者: 许家仁,Email:xujiarencn@sina.com
基金资助:
2020年江苏省重点研发计划(社会发展)(BE2020787);2020年江苏卫生健康职业学院院级科研项目(JKC202042)

Analysis of influencing factors of dysphagia in hospitalized elderly patients with sarcopenia

BO Ying-ying, MO Yong-zhen, OUYANG Xiao-jun, SHEN Xiao-xing, ZHU Hai-qiong, WANG Jie, LIU Xiao-qin, LIU Mei-li, LIU Huan, XU Jia-ren

BO Ying-ying. School of Nursing, Nanjing Medical University, Nanjing 210024, China;
MO Yong-zhen, OUYANG Xiao-jun, SHEN Xiao-xing, ZHU Hai-qiong, WANG Jie, LIU Xiao-qin, LIU Mei-li, XU Jia-ren. Geriatric Hospital of Nanjing Medical University, Nanjing 210024, China;
LIU Huan. School of Nursing, Medical College of Soochow University, Suzhou 215006, China

Received:2021-11-03 Online:2022-06-20 Published:2022-06-30

摘要/Abstract

摘要： 目的了解老年肌少症住院病人合并吞咽功能障碍的现状及相关影响因素。方法选取2019年11月至2021年10月在江苏省老年病医院住院的86例老年肌少症病人,所有病人均进行洼田饮水试验,根据病人有无吞咽功能障碍将其分为仅有肌少症组(n=29)与肌少症合并吞咽功能障碍组(n=57)。收集并比较2组病人的一般资料,采用二元Logistic回归分析老年肌少症住院病人合并吞咽功能障碍的影响因素。结果老年肌少症住院病人中合并吞咽功能障碍的检出率为66.28%。2组年龄、婚姻状况、居住状况、吸烟史、饮酒史、运动习惯、日常活动能力、严重肌少症患病率差异均有统计学意义(P＜0.05或0.01)。二元Logistic回归分析显示,运动习惯是老年肌少症住院病人合并吞咽功能障碍的独立影响因素(OR=4.138,95%CI:1.276~13.423)。结论运动锻炼对老年肌少症病人的吞咽功能有积极作用,因此应注重老年人的日常运动锻炼,降低肌少症合并吞咽障碍的发生风险。

关键词: 肌少症, 吞咽功能障碍, 老年住院病人, 影响因素

Abstract: Objective To investigate the status and the related influencing factors of dysphagia in the elderly inpatients with sarcopenia. Methods A total of 86 elderly patients with sarcopenia hospitalized in Jiangsu Province Geriatric Hospital from November 2019 to October 2021 were selected. According to the result of water swallow test, the patients were divided into sarcopenia only group (n=29) and sarcopenia combined with dysphagia group (n=57). The general data of the two groups were collected and compared; The influencing factors of dysphagia in the elderly inpatients with sarcopenia were analyzed by binary Logistic regression analysis. Results The detection rate of dysphagia in the elderly inpatients with sarcopenia was 66.28%. There were statistically significant differences in age, marital status, residential status, smoking history, drinking history, exercise habit, activity of daily living and the prevalence of severe sarcopenia between the two groups (P<0.05 or 0.01). Binary Logistic regression analysis showed that exercise habit was an independent factor for dysphagia in the elderly inpatients with sarcopenia. Conclusions Exercise has a positive effect on swallowing function, so we should pay attention to the elderly’s daily exercise, and reduce the risk of sarcopenia combined with dysphagia.

Key words: sarcopenia, dysphagia, elderly inpatient, risk factor

中图分类号:

R 746

薄莹莹, 莫永珍, 欧阳晓俊, 沈晓星, 朱海琼, 王洁, 刘小芹, 刘媚丽, 刘欢, 许家仁. 老年肌少症住院病人合并吞咽功能障碍的影响因素分析[J]. 实用老年医学, 2022, 36(6): 632-635.

BO Ying-ying, MO Yong-zhen, OUYANG Xiao-jun, SHEN Xiao-xing, ZHU Hai-qiong, WANG Jie, LIU Xiao-qin, LIU Mei-li, LIU Huan, XU Jia-ren. Analysis of influencing factors of dysphagia in hospitalized elderly patients with sarcopenia[J]. Practical Geriatrics, 2022, 36(6): 632-635.

参考文献

[1] CRUZ-JENTOFT A J, BAHAT G, BAUER J, et al. Sarcopenia: revised European consensus on definition and diagnosis[J]. Age Ageing, 2019, 48(1):16-31.
[2] CHEN L K, WOO J, ASSANTACHAI P, et al. Asian Working Group for Sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment[J]. J Am Med Dir Assoc, 2020, 21(3):300-307.
[3] 中国吞咽障碍康复评估与治疗专家共识组. 中国吞咽障碍评估与治疗专家共识(2017年版)第一部分评估篇[J]. 中华物理医学与康复杂志, 2017, 39(12):881-892.
[4] KURODA Y, KURODA R. Relationship between thinness and swallowing function in Japanese older adults: implications for sarcopenic dysphagia[J]. J Am Geriatr Soc, 2012, 60(9):1785-1786.
[5] KOREN-HAKIM T, WEISS A, HERSHKOVITZ A, et al. Comparing the adequacy of the MNA-SF, NRS-2002 and MUST nutritional tools in assessing malnutrition in hip fracture operated elderly patients[J]. Clin Nutr, 2016, 35(5):1053-1058.
[6] CLARK D O, STUMP T E, TU W, et al. A comparison and cross-validation of models to predict basic activity of daily living dependency in older adults[J]. Med Care, 2012, 50(6):534-539.
[7] LUO N, LIU G, LI M, et al. Estimating an EQ-5D-5L value set for China[J]. Value Health, 2017, 20(4):662-669.
[8] ROFFMAN C E, BUCHANAN J, ALLISON G T. Charlson comorbidities index[J]. J Physiother, 2016, 62(3):171.
[9] FIELDING R A, VELLAS B, EVANS W J, et al. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences[J]. J Am Med Dir Assoc, 2011, 12(4):249-256.
[10] WAKABAYASHI H. Presbyphagia and sarcopenic dysphagia: association between aging, sarcopenia, and deglutition disorders[J]. J Frailty Aging, 2014, 3(2):97-103.
[11] HUMBERT I A, ROBBINS J. Dysphagia in the elderly[J]. Phys Med Rehabil Clin N Am, 2008, 19(4):853-866.
[12] DZIEWAS R, BECK A M, CLAVE P, et al. Recognizing the importance of dysphagia: stumbling blocks and stepping stones in the twenty-first century[J]. Dysphagia, 2017, 32(1):78-82.
[13] ZHAO W T, YANG M, WU H M, et al. Systematic review and meta-analysis of the association between sarcopenia and dysphagia[J]. J Nutr Health Aging, 2018, 22(8):1003-1009.
[14] FUJISHIMA I, FUJIU-KURACHI M, ARAI H, et al. Sarcopenia and dysphagia: position paper by four professional organizations[J]. Geriatr Gerontol Int, 2019, 19(2):91-97.
[15] VELDEE M S, PETH L D. Can protein-calorie malnutrition cause dysphagia?[J]. Dysphagia, 1992, 7(2):86-101.
[16] 王剑, 李五一, 张竹花, 等. 吞咽障碍的临床评估[J]. 中华耳鼻咽喉头颈外科杂志, 2012, 47(11):889-893.
[17] MAEDA K, AKAGI J. Treatment of sarcopenic dysphagia with rehabilitation and nutritional support: A Comprehensive Approach[J]. J Acad Nutr Diet, 2016, 116(4):573-577.
[18] WAKABAYASHI H, UWANO R. Rehabilitation nutrition for possible sarcopenic dysphagia after lung cancer surgery: A Case Report[J]. Am J Phys Med Rehabil, 2016, 95(6):e84-e89.
[19] CLAVE P, SHAKER R. Dysphagia: current reality and scope of the problem[J]. Nat Rev Gastroenterol Hepatol, 2015, 12(5):259-270.
[20] WAKABAYASHI H, SAKUMA K. Rehabilitation nutrition for sarcopenia with disability: a combination of both rehabilitation and nutrition care management[J]. J Cachexia Sarcopenia Muscle, 2014, 5(4):269-277.

老年肌少症住院病人合并吞咽功能障碍的影响因素分析

Analysis of influencing factors of dysphagia in hospitalized elderly patients with sarcopenia

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