慢性和急性疾病中的肌肉减少症。一篇小型综述。
Sarcopenia in cases of chronic and acute illness. A mini-review.
作者信息
Dovjak Peter
机构信息
Department of Acute Geriatrics, Salzkammergutklinikum Gmunden, Miller von Aichholzstraße 49, 4810, Gmunden, Austria.
出版信息
Z Gerontol Geriatr. 2016 Feb;49(2):100-6. doi: 10.1007/s00391-015-0986-9. Epub 2015 Nov 26.
BACKGROUND
Loss of muscle mass and muscle weakness are often found in cases of acute or chronic illness in elderly patients. Sarcopenia is a risk factor for complications and higher mortality. Based on an exact diagnosis and knowledge of the risk factors for developing sarcopenia, it is now possible to improve the prognosis by providing effective treatment options.
METHODS
This review was carried out based on a PubMed search in the period from 1998 to 2015 using original articles and reviews and posting the terms "sarcopenia", "elderly" and "acute illness".
CONCLUSION
Given the evidence from the current literature, in the case of acute illness it is feasible to identify patients at risk, diagnose sarcopenia and prescribe a multidimensional treatment program to prevent or treat sarcopenia even in the bustling environment of geriatric wards or institutions.
背景
在老年患者的急性或慢性疾病病例中，常发现肌肉量减少和肌肉无力。肌肉减少症是并发症和较高死亡率的危险因素。基于对肌肉减少症的确切诊断和发病危险因素的了解，现在可以通过提供有效的治疗方案来改善预后。
方法
本综述基于1998年至2015年期间在PubMed上进行的搜索，使用原始文章和综述，并输入“肌肉减少症”、“老年人”和“急性疾病”等术语。
结论
鉴于当前文献的证据，在急性疾病的情况下，即使在老年病房或机构繁忙的环境中，识别有风险的患者、诊断肌肉减少症并制定多维治疗方案以预防或治疗肌肉减少症是可行的。
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