基于老年综合评估的经导管主动脉瓣置换术后中西医临床特点分析

Clinical Characteristics of Chinese and Western Medicine after Transcatheter Aortic Valve Replacement Based on Comprehensive Geriatric Assessment

探讨经导管主动脉瓣置换术(TAVR)后患者的中西医临床特点。方法 选择2019年1—10月成功行TAVR治疗的100例患者,应用老年综合评估的方法,进行心肺功能、中医症状特点及整体功能的评估。结果 中医症状方面:TAVR术后患者频数最高的为倦怠乏力(91%);运动机能方面:6分钟步行平均距离为(234.6±95.7)m;其他整体功能方面:存在明显虚弱状态、营养不良风险、认知功能障碍、抑郁、焦虑的比例分别为83%、58%、55%、12%、9%。结论 TAVR术后患者中医症状以乏力为主要表现,存在不同程度的认知功能障碍、营养不良风险、焦虑、抑郁及明显虚弱状态。

To explore the clinical characteristics of Chinese and Western medicine in patients after transcatheter aortic valve replacement(TAVR). Methods One hundred patients for TAVR were admitted between January and October 2019. The cardiopulmonary function, Chinese medicine(CM)symptom and overall function were evaluated by the method of comprehensive geriatric assessment. Results The highest frequency CM symptoms of patients after TAVR was languid(91%), the 6-minute walk distance was(234.55±95.65)m, the proportion of frailty,malnutrition, cognitive impairment, depression, and anxiety were 83%, 58%, 55%, 12%, and 9%,respectively. Conclusion The main manifestation of patients after TAVR is fatigue, and they have varying degrees of cognitive impairment, malnutrition risk, anxiety, depression, and obvious weakness.