切换至 "中华医学电子期刊资源库"

中华老年病研究电子杂志 ›› 2019, Vol. 06 ›› Issue (03) : 15 -18. doi: 10.3877/cma.j.issn.2095-8757.2019.03.005

所属专题: 专题评论 文献

综述

衰弱评估在老年冠心病患者心脏康复治疗中的应用
向婷婷1, 贺无恙1, 陈庆伟1,()   
  1. 1. 400010 重庆,重庆医科大学附属第二医院老年病科
  • 收稿日期:2019-07-24 出版日期:2019-08-28
  • 通信作者: 陈庆伟
  • 基金资助:
    国家自然科学基金面上项目(31871182); 重庆市渝中区科技计划项目(20170406); 重庆市体育局科研项目(B201812)

Application of frailty assessment in cardiac rehabilitation in elderly patients with coronary heart disease

Tingting Xiang1, Wuyang He1, Qingwei Chen1,()   

  1. 1. Department of Geriatrics, the Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
  • Received:2019-07-24 Published:2019-08-28
  • Corresponding author: Qingwei Chen
  • About author:
    Corresponding author: Chen Qingwei, Email:
引用本文:

向婷婷, 贺无恙, 陈庆伟. 衰弱评估在老年冠心病患者心脏康复治疗中的应用[J]. 中华老年病研究电子杂志, 2019, 06(03): 15-18.

Tingting Xiang, Wuyang He, Qingwei Chen. Application of frailty assessment in cardiac rehabilitation in elderly patients with coronary heart disease[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2019, 06(03): 15-18.

随着医疗技术水平的进步,人类预期寿命大大增加,然而随着年龄的增加衰弱与心血管疾病的患病率也不断上升,老年人尤其如此。目前,国内关于衰弱与心血管疾病相关性的研究报道尚不多。本文重点关注衰弱评估中的肌力评估与步速评估在老年冠心病患者心脏康复治疗中的应用,以期说明衰弱评估对于预测老年冠心病患者心脏康复预后的重要性,希望能够引起临床各相关学科的重视,旨在为老年冠心病患者心脏康复的诊疗及预防提供新思路。

With the development of medical technology, human life expectancy has increased greatly. However, with the increase of age, the prevalence of frailty and cardiovascular diseases is also increasing, especially for the elderly. At present, there are few reports on the correlation between frailty and cardiovascular diseases in China. This article focuses on weak muscle strength assessment and pace of appraisal in elderly patients with coronary heart disease in the treatment of cardiac rehabilitation applications, in order to show weakness assessment for predicting the importance of cardiac rehabilitation outcomes for patients with senile coronary heart disease, hoping to cause the attention of clinical each related disciplines, in order to provide new ideas for the diagnosis, treatment and prevention of the elderly patients with coronary heart disease.

[1]
朱丹,郭彩艳,缪斯思,等.80岁以上高龄冠心病患者经桡动脉行冠状动脉介入诊疗的可行性分析[J].中国循环杂志,2016,31(10):966-969.
[2]
Harada H, Kai H, Niiyama H, et al. Effectiveness of cardiac rehabilitation for prevention and treatment of sarcopenia in patients with cardiovascular disease - a retrospective cross-sectional analysis[J]. J Nutr Health Aging, 2017, 21(4):449-456.
[3]
中华医学会老年医学分会.老年患者衰弱评估与干预中国专家共识[J].中华老年医学杂志,2017,36(3):251-256.
[4]
Fried LP, Tangen CM, Walston J, et a1. Frailty in o1der adults:evidence for a phenotype[J]. J Gerontol A Biol Sci Med Sci, 2001, 56(3):146-156.
[5]
刘长虎,胡松,毛拥军,等.老年人衰弱的研究进展[J].中国全科医学,2017,20(16):2025-2033.
[6]
Kleipool EE, Hoogendijk EO, Trappenburg MC, et al. Frailty in older adults with cardiovascular disease: cause, effect or both[J]? Aging Dis, 2018, 9(3):489-497.
[7]
汤雯,姜春燕,孙颖,等.老年住院患者衰弱状态评估[J].临床和实验医学杂志,2019,18(2):187-192.
[8]
Afilalo J, Alexander KP, Mack MJ, et al. Frailty assessment in the cardiovascular care of older adults[J]. J Am Coll Cardiol, 2014, 63(8):747-762.
[9]
Veronese N, Sigeirsdottir K, Eiriksdottir G, et al. Frailty and risk of cardiovascular diseases in older persons: the age, gene/environment susceptibility-reykjavik study[J]. Rejuvenation Res, 2017, 20(6):517-524.
[10]
邓历敏,阮贵云,罗飞,等.冠心病患者心脏康复研究进展[J].心血管病学进展,2016,37(5):521-524.
[11]
郭航远.我国心脏康复的困境与对策[J].中国全科医学,2019,22(12):1381-1384.
[12]
Schopfer DW, Forman DE. Cardiac rehabilitation in older adults[J]. Can J Cardiol, 2016, 32(9):1088-1096.
[13]
Kelsey F, Kevin K, Suzanne V, et al. Slow gait speed and cardiac rehabilitation participation in older adults after acute myocardial infarction[J]. J American Heart Association, 2018, 7(5). doi:10.1161/jaha.117.008296
[14]
Daniel EF, Ross A, Rebecca B, et al. Prioritizing functional capacity as a principal end point for therapies oriented to older adults with cardiovascular disease: a scientific statement for healthcare professionals from the american heart association[J]. Circulation, 2017, 135(16). doi/10.1161/CIR.0000000000000483
[15]
汪宇鹏,姚思华,刘丹,等.老年冠心病患者骨骼肌质量比重与心肺耐力的相关性[J].中华医学杂志,2018,98(11):831-836.
[16]
Boo SH, Joo MC, Lee JM, et al. Association between skeletal muscle mass and cardiorespiratory fitness in community-dwelling elderly men[J]. Aging Clin Exp Res, 2019, 31(1):49-57.
[17]
Kim Y, White T, Wijndaele K, et al. The combination of cardiorespiratory fitness and muscle strength, and mortality risk[J]. Euro J Epidemiol, 2018, 33(10):953-964.
[18]
许晓娟,贾耀文.运动锻炼对冠心病患者心脏功能的康复作用[J].心脑血管病防治,2015,15(5):405-406.
[19]
do Carmo Correia de Lima M, Loffredo Bilton T, Jefferson de Sousa Soares W, et al. Maximum walking speed can improve the diagnostic value of frailty among community-dwelling older adults a cross-sectional study[J]. J Frailty Aging, 2019, 8(1):39-41.
[20]
Veronese N, Stubbs B, Volpato S, et al. Association between gait speed with mortality, cardiovascular disease and cancer: a systematic review and meta-analysis of prospective cohort studies[J]. J Am Med Dir Assoc, 2018, 19:981-988.
[21]
Grazzi G, Mazzoni G, Myers J, et al. Improved walking speed is associated with lower hospitalisation rates in patients in an exercise-based secondary prevention programme[J]. Heart, 2016, 102(23):1902-1908.
[22]
Molino-Lova R, Pasquini G, Vannetti F, et al. The improvement of walking speed after cardiac rehabilitation is associated with the reduction in the metabolic cost of walking in older persons[J]. Gait Posture, 2012, 35(3):458-461.
[23]
胡盛寿,高润霖,刘力生,等.《中国心血管病报告2018》概要[J].中国循环杂志,2019,34(3):209-220.
[24]
张宁,朱文玲,刘晓红,等.住院老年冠心病患者衰弱与肌肉功能评价的横断面分析[J].中华内科杂志,2019,58(4):265-269.
[1] 杜滨和, 徐楠, 杨云川, 崔培元. 5项改良衰弱指数预测胰十二指肠切除术近期预后的价值探讨[J]. 中华普通外科学文献(电子版), 2023, 17(06): 444-448.
[2] 李凤仪, 李若凡, 高旭, 张超凡. 目标导向液体干预对老年胃肠道肿瘤患者术后血流动力学、胃肠功能恢复的影响[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 29-32.
[3] 晏晴艳, 雍晓梅, 罗洪, 杜敏. 成都地区老年转移性乳腺癌的预后及生存因素研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 636-638.
[4] 李婷婷, 吴荷玉, 张悦, 程康, 张晓芳, 程娅婵. 复合保温策略在老年腹腔镜解剖性肝切除术中的应用研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(05): 522-525.
[5] 刘跃刚, 薛振峰. 腹腔镜腹股沟疝日间手术在老年患者中的安全性分析[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 711-714.
[6] 代格格, 杨丽, 胡媛媛, 周文婷. 手术室综合干预在老年腹股沟疝患者中的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 759-763.
[7] 赵宏霞, 刘静, 李晓薇, 陈金婵, 汪志霞. 腹腔镜下经阴道子宫全切术联合阴道前后壁修补术治疗老年子宫脱垂效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 561-565.
[8] 孙伟, 林丽, 师高洋. 超声引导下连续髂腹股沟-髂腹下神经阻滞与腹横肌平面阻滞在老年腹股沟疝手术中应用效果比较[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 593-597.
[9] 张汪, 徐淑英, 张爱华, 夏芬荣, 汪露. 手术室体温护理结合细节护理干预在老年腹股沟疝围手术期的应用效果[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(05): 635-638.
[10] 杨鹏, 刘冲. PFNA治疗老年股骨转子间骨折后隐匿性失血及其危险因素的横断面研究[J]. 中华老年骨科与康复电子杂志, 2023, 09(05): 301-306.
[11] 单秋洁, 孙立柱, 徐宜全, 王之霞, 徐妍, 马浩, 刘田田. 中老年食管癌患者调强放射治疗期间放射性肺损伤风险模型构建及应用[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 388-393.
[12] 姜里蛟, 张峰, 周玉萍. 多学科诊疗模式救治老年急性非静脉曲张性上消化道大出血患者的临床观察[J]. 中华消化病与影像杂志(电子版), 2023, 13(06): 520-524.
[13] 毛树文, 袁方, 唐昊, 王建民. 针刀调节交感神经对老年胃溃疡患者胃功能和溃疡愈合的影响[J]. 中华消化病与影像杂志(电子版), 2023, 13(05): 326-330.
[14] 郭震天, 张宗明, 赵月, 刘立民, 张翀, 刘卓, 齐晖, 田坤. 机器学习算法预测老年急性胆囊炎术后住院时间探索[J]. 中华临床医师杂志(电子版), 2023, 17(9): 955-961.
[15] 晏美娟, 邵礼晖. 高水平脂蛋白(a)与无“三高”老年人群小动脉硬化型脑小血管病的相关性研究[J]. 中华脑血管病杂志(电子版), 2023, 17(05): 458-463.
阅读次数
全文


摘要