中西医防治老年肌少症的研究进展
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国家自然科学基金项目(81603701);安徽省医疗卫生重点专科建设项目(皖卫科教发〔2021〕273号)


Research Progress on Prevention and Treatment of Sarcopenia in Elderly Patients by Traditional Chinese and Western Medicine
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    摘要:

    总结中西医防治老年肌少症的相关研究,包括西药、营养支持、运动疗法、中药、针刺、推拿、八段锦等传统特色疗法,提高肌少症患者的肌力、肌量,改善步态、日常生活能力、平衡能力,通过降低炎症反应、提高抗氧化能力、促进细胞凋亡以及蛋白合成以改善骨骼肌萎缩。营养支持及运动疗法作为老年肌少症的主要防治手段,西药治疗处于探索阶段,未被广泛推广应用。中医药治疗老年肌少症疗效确切,不良反应少,但中医药对老年肌少症的临床应用及作用机制研究不够深入,有待于进一步挖掘中医药价值,为肌少症提供更多及良好的治疗方法。

    Abstract:

    This article summarized the related studies on the prevention and treatment of sarcopenia in elderly patients with traditional Chinese and Western medicine,including western medicine,nutritional support,exercise therapy,traditional Chinese medicine(TCM),acupuncture,massage,Baduanjin,and other traditional characteristic therapies.These methods can strengthen muscle strength and muscle mass,improve gait and ability to daily life,and reinforce the balance ability of patients with sarcopenia.They can improve skeletal muscle atrophy by reducing inflammation,increasing antioxidant capacity,and promoting apoptosis and protein synthesis.Nutritional support and exercise therapy are the main prevention and treatment methods for sarcopenia in elderly patients,but western medicine is still in the exploratory stage and has not been widely used.TCM has definite curative effects and few side effects in treating sarcopenia in elderly patients,but the clinical application and mechanism of TCM in sarcopenia in elderly patients is not in-depth enough,and the value of TCM needs to be further explored,so as to provide more and better treatment methods for elderly patients with sarcopenia.

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代飞,张君宇,朱才丰.中西医防治老年肌少症的研究进展[J].世界中医药,2024,(04).

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  • 收稿日期:2023-02-28
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  • 在线发布日期: 2024-05-15
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