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肿瘤患者肌少症和恶液质的康复治疗意见。

Treatment opinion of rehabilitation in sarcopenia and cachexia for oncological patients.

出版信息

Klin Onkol. 2020 Winter;33(6):421-425.

Abstract

INTRODUCTION

Cachexia is defined as a syndrome of multifactorial etiology characterized by severe weight loss, loss of muscle and fat mass and increase in protein catabolism. Cachexia in cancer is a predominant and debilitating syndrome. Sarcopenia is a primary disease of older age characterized by loss of muscle mass due to the aging process. Sarcopenia can be defined as a combination of low muscle strength and muscle mass. Sarcopenia often occurs in the geriatric population.

METHOD

This is a review article, search for articles in Pubmed database, JCR and Cochrane database was made with the following keywords: “sarcopenia”, “cachexia”, “rehabilitation” and “exercise”.

RESULT

The main therapy of rehabilitation is exercise. Exercise can reduce the inflammatory response induced by cachexia or sarcopenia. Exercise can support autophagy. Physical activity can slow down weight loss and improve skeletal muscle function. Adequate strength exercise and aerobic exercise are important benefits for patients. Strength and aerobic exercise increase muscle strength and function and represent an important treatment strategy for cachexia and sarcopenia.

CONCLUSION

Rehabilitation treatment is an important part of treatment for patients with cachexia and sarcopenia.

摘要

简介

恶病质是一种多因素病因引起的综合征,其特征为严重体重下降、肌肉和脂肪组织减少以及蛋白质分解代谢增加。癌症恶病质是一种主要的衰弱综合征。肌肉减少症是一种主要的老年疾病,其特征是由于衰老过程导致肌肉量减少。肌肉减少症可以定义为肌肉力量和肌肉量低的组合。肌肉减少症常在老年人群中发生。

方法

这是一篇综述文章,在 Pubmed 数据库、JCR 和 Cochrane 数据库中使用以下关键词进行了文章搜索:“肌肉减少症”、“恶病质”、“康复”和“运动”。

结果

康复的主要治疗方法是运动。运动可以减少恶病质或肌肉减少症引起的炎症反应。运动可以支持自噬。身体活动可以减缓体重下降并改善骨骼肌功能。足够的力量运动和有氧运动对患者有重要益处。力量和有氧运动增加肌肉力量和功能,是治疗恶病质和肌肉减少症的重要策略。

结论

康复治疗是恶病质和肌肉减少症患者治疗的重要组成部分。

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