肌少症对危重症患者的影响。
Influence of sarcopenia focused on critically ill patients.
作者信息
Akan Belgin
机构信息
Department of Anesthesiology and Reanimation, Ankara City Hospital, Health Sciences University, Ankara, Turkey.
出版信息
Acute Crit Care. 2021 Feb;36(1):15-21. doi: 10.4266/acc.2020.00745. Epub 2021 Feb 2.
Abstract
A systemic review was performed to evaluate the epidemiological, pathophysiological, and clinical features of sarcopenia, the relationship of sarcopenia with critical illness and its impact on mortality, and diagnostic methods and treatment modalities. Generally, in the presence of critical illness, sarcopenia is not included in the treatment approach strategies. An intensivist should be aware that sarcopenia may be present in critically ill patients. Although the main modalities against sarcopenia are early mobilization and nutritional support, they can only prevent its development and may have positive effects on prognosis rather than treating the existing sarcopenia.
摘要
进行了一项系统评价，以评估肌肉减少症的流行病学、病理生理学和临床特征，肌肉减少症与危重病的关系及其对死亡率的影响，以及诊断方法和治疗方式。一般来说，在危重病情况下，肌肉减少症不包括在治疗策略中。重症监护医生应意识到危重病患者可能存在肌肉减少症。尽管对抗肌肉减少症的主要方式是早期活动和营养支持，但它们只能预防其发展，可能对预后有积极影响，而不能治疗现有的肌肉减少症。
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