老年糖尿病合并衰弱的中西医治疗研究进展

Research Progress of Traditional Chinese and Western Medicine Treatment of Elderly Diabetes with Frailty

糖尿病可显著增加衰弱风险,是老年人机体功能减退和残障发展的重要危险因素,严重影响其生活质量。老年糖尿病患者的衰弱状态与糖尿病病程、营养不良及肌少症等因素相关。目前改善老年糖尿病患者生活质量的策略主要包括西药治疗、中药治疗、营养支持、运动疗法和中医外治法等。中西医结合治疗可整合两种医学体系的优势,已成为治疗老年糖尿病合并衰弱的有效手段。但目前国内关于老年糖尿病合并衰弱的相关研究较少,未来仍需更多高质量的循证医学研究明确老年糖尿病合并衰弱患者的特定治疗方案,为临床实践提供有力支持。

Diabetes significantly increases the risk of frailty and is an important risk factor for physical decline and disability development in the elderly,which seriously affects their quality of life.The debilitating state of elderly patients with diabetes is related to the course of diabetes,malnutrition,sarcopenia and other factors.At present,the strategies to improve the quality of life of elderly people with diabetes mainly include western medicine treatment,traditional Chinese medicine(TCM)treatment,nutritional support,exercise therapy and external TCM treatment.The combination of TCM and western medicine can integrate the advantages of the two medical systems,and has become an effective means to treat senile diabetes with frailty.However,at present,there are few relevant studies on elderly diabetes with frailty in China.In the future,more high-quality evidence-based medical research is still needed to clarify the specific treatment scheme for elderly diabetes with frailty,so as to provide strong support for the clinical practice.