Interview Time:15:00,April 2nd,2018 Location:Office of Academician Chen Keji Interviewer:Professor Zou Jianhua,Associate Editor-in-Chief of WJIM Interviewee:Academician Chen Keji Introduction of Chen Keji The senior a...Interview Time:15:00,April 2nd,2018 Location:Office of Academician Chen Keji Interviewer:Professor Zou Jianhua,Associate Editor-in-Chief of WJIM Interviewee:Academician Chen Keji Introduction of Chen Keji The senior academician of the Chinese Academy of Sciences,Dr.Chen Keji is the national master of traditional Chinese medicine,honorary and lifelong researcher of the China Academy of Chinese Medical Sciences,scientific innovation strategic consultant of National Health and Family Planning Commission,and expert consultant of State Administration of Traditional Chinese Medicine.He is the member of the Expert Advisory Committee of the Central Health Care Committee,Chairman of the Senior Expert Advisory Committee of World Federation of Chinese Medicine Societies,honorary President of China Association of Integrative Medicine and China Geriatrics Society Association,President of Chinese and Western Medicine Doctors Branches of Chinese Medical Doctor Association,senior expert of the expert committee of National Heart Center,of Clinical Center for National Neuroscience,and of Clinical Medical Research Center for National Geriatric Committee.展开更多
目的在国内首次将老年综合评估用于心脏康复及老年瓣膜病评估中,探讨老年综合评估在经导管主动脉瓣置换术(TAVR)患者心脏康复中的应用价值.方法应用老年综合评估指标初次评估43例拟行TAVR的患者,老年综合评估包括一般情况、认知功能、...目的在国内首次将老年综合评估用于心脏康复及老年瓣膜病评估中,探讨老年综合评估在经导管主动脉瓣置换术(TAVR)患者心脏康复中的应用价值.方法应用老年综合评估指标初次评估43例拟行TAVR的患者,老年综合评估包括一般情况、认知功能、营养状态、活动能力、精神心理问题、虚弱程度、中医症状评分、左手及右手握力和5 m步行试验.患者完成第1次老年综合评估后,即启动心脏康复,包括术前预康复、术后住院期间及出院后康复指导,并采用中西医结合方法.心脏康复治疗后1个月常规随访,比较心脏康复前后各指标差异.结果 43例患者中,简易智能状态检查量表(MMSE)评分(25.44±2.26)分,轻度及以上认知功能障碍占60.47%;老年人微型营养评定量表评分(22.49±3.54)分,存在营养不良风险或营养不良占62.79%;Barthel指数评分(84.65±14.24)分,存在日常生活活动能力异常占93.02%;虚弱程度评分(2.89±0.99)分,明显虚弱占76.74%.33例患者心脏康复中,治疗后存在营养不良风险比例显著低于治疗前(24.2% vs 60.6%,P=0.006);虚弱程度评分[(1.50±0.97)分vs(3.17±1.00)分,P=0.000]和明显虚弱比例降低(33.3% vs 72.7%,P=0.003).患者心脏康复治疗后较治疗前MMSE评分和握力增加,焦虑抑郁量表焦虑分量表评分降低,差异虽无统计学意义(P>0.05),但各项均有不同程度改善.结论老年综合评估可作为TAVR患者心脏康复的指导依据,以提高活动能力、调节情绪、预防患者认知功能下降,改善虚弱程度,并可作为心脏康复的效果评价指标.展开更多
文摘Interview Time:15:00,April 2nd,2018 Location:Office of Academician Chen Keji Interviewer:Professor Zou Jianhua,Associate Editor-in-Chief of WJIM Interviewee:Academician Chen Keji Introduction of Chen Keji The senior academician of the Chinese Academy of Sciences,Dr.Chen Keji is the national master of traditional Chinese medicine,honorary and lifelong researcher of the China Academy of Chinese Medical Sciences,scientific innovation strategic consultant of National Health and Family Planning Commission,and expert consultant of State Administration of Traditional Chinese Medicine.He is the member of the Expert Advisory Committee of the Central Health Care Committee,Chairman of the Senior Expert Advisory Committee of World Federation of Chinese Medicine Societies,honorary President of China Association of Integrative Medicine and China Geriatrics Society Association,President of Chinese and Western Medicine Doctors Branches of Chinese Medical Doctor Association,senior expert of the expert committee of National Heart Center,of Clinical Center for National Neuroscience,and of Clinical Medical Research Center for National Geriatric Committee.
文摘目的在国内首次将老年综合评估用于心脏康复及老年瓣膜病评估中,探讨老年综合评估在经导管主动脉瓣置换术(TAVR)患者心脏康复中的应用价值.方法应用老年综合评估指标初次评估43例拟行TAVR的患者,老年综合评估包括一般情况、认知功能、营养状态、活动能力、精神心理问题、虚弱程度、中医症状评分、左手及右手握力和5 m步行试验.患者完成第1次老年综合评估后,即启动心脏康复,包括术前预康复、术后住院期间及出院后康复指导,并采用中西医结合方法.心脏康复治疗后1个月常规随访,比较心脏康复前后各指标差异.结果 43例患者中,简易智能状态检查量表(MMSE)评分(25.44±2.26)分,轻度及以上认知功能障碍占60.47%;老年人微型营养评定量表评分(22.49±3.54)分,存在营养不良风险或营养不良占62.79%;Barthel指数评分(84.65±14.24)分,存在日常生活活动能力异常占93.02%;虚弱程度评分(2.89±0.99)分,明显虚弱占76.74%.33例患者心脏康复中,治疗后存在营养不良风险比例显著低于治疗前(24.2% vs 60.6%,P=0.006);虚弱程度评分[(1.50±0.97)分vs(3.17±1.00)分,P=0.000]和明显虚弱比例降低(33.3% vs 72.7%,P=0.003).患者心脏康复治疗后较治疗前MMSE评分和握力增加,焦虑抑郁量表焦虑分量表评分降低,差异虽无统计学意义(P>0.05),但各项均有不同程度改善.结论老年综合评估可作为TAVR患者心脏康复的指导依据,以提高活动能力、调节情绪、预防患者认知功能下降,改善虚弱程度,并可作为心脏康复的效果评价指标.