衰弱与老年炎症性肠病

Frailty and inflammatory bowel disease in elderly patients

近年研究发现,老年炎症性肠病(IBD)患者逐年增多。衰弱是一种与年龄相关的以体力、耐力和生理功能下降为特征的医学综合征。越来越多研究表明衰弱与IBD息息相关,尤其是老年患者。因此,对于老年IBD患者,应早期识别衰弱并进行风险评估,以便准确及时地判断患者疾病进程,制定更有效的个体化治疗方案,可增加患者身体储备,有效逆转、减慢衰弱进展及减少不良结局的发生,从而改善患者预后。

In recent years,studies have found that the number of the elderly patients with inflammatory bowel disease is increasing year by year.Frailty is an age-related medical syndrome characterized by declines in physical strength,endurance,and physiological function.A growing number of studies shows that frailty is closely linked with IBD,especially in elderly patients.Therefore,for elderly patients with IBD,frailty should be early identified.Meanwhile,carrying out risk assessments is necessary as well,so that doctors can judge disease process of the patient precisely and timely,then developing more effective individualized treatment plan that can increase physical reserves,reverse effectively,slow down the progression of frailty and reduce the occurrence of adverse outcomes to improve the prognosis of patient.