肌少症相关吞咽障碍的研究进展

doi:10.3969/j.issn.1006-9771.2020.03.016

Abstract

Abstract:

Sarcopenia is an age-related syndrome of extensive, aggressive muscle mass loss and function reducing, which seriously affects the quality of life and social participation of the elderly. Dysphagia can increase the prevalence of sarcopenia, in another hand, sarcopenia can also implicate swallow related muscles, to increase the risk of malnutrition and aspiration. In recent years, the concept of sarcopenic dysphagia has been widely recognized in many researches. Sarcopenia is mainly screened with CT, MRI, ultrasound, and other auxiliary examination, as well as consensus guidelines. Interventions for it mainly include functional training, nutrition management and drug therapy. Early identification and intervention are important for the outcome and quality of life of patients.

Key words: sarcopenia, dysphagia, review

CLC Number:

R685

LI Bo-ning,CHEN Jian-er. Advance in Sarcopenia-related Dysphagia (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(3): 344-349.

Figures/Tables 1

References 70

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项目	EWGSOP	IWGS	AWGS	中国	EWGSOP2
步速	< 0.8 m/s (4米步行测试)	< 1 m/s (4米步行测试)	< 0.8 m/s (6米步行测试)	≤ 0.8 m/s,测评肌量;> 0.8 m/s,测评握力	< 0.8 m/s(严重肌少症)
握力	< 30 kg(男) < 20 kg(女)	未提及	< 26 kg(男) < 18 kg(女)	< 25 kg(男) < 18 kg(女)	< 27 kg(男) < 16 kg(女)
肌肉质量指数	DXA：男性≤ 7.26 kg/m²,女性≤ 5.5 kg/m² BIA：男性≤ 8.87 kg/m²,女性≤ 6.42 kg/m²	男性≤ 7.23 kg/m², 女性≤ 5.67 kg/m²	DXA：男性≤ 7.0 kg/m²,女性≤ 5.4 kg/m² BIA：男性≤ 7.0 kg/m², 女性≤ 5.7 kg/m²	首选DXA：低于参照青年健康人峰值的-2个标准差	男性≤ 7.0 kg/m²,女性≤ 5.5 kg/m²
简易体能状况量表	≤ 8分	未提及	< 9分	未提及	≤ 8分
400米步行测试	未提及	未提及	未提及	未提及	未完成或> 6 min完成
计时起立行走测试	无具体切点	未提及	未提及	未提及	≥ 20 s
椅子支架测试	未提及	未提及	未提及	未提及	> 15 s

Advance in Sarcopenia-related Dysphagia (review)

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