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老年呼吸系统疾病患者的衰弱管理研究进展

张 劲 1 李小玲 2*

1.赣南医科大学;2.萍乡市人民医院

摘要(Abstract):

全球人口老龄化进程加速,老年呼吸系统疾病发病率逐年攀升,衰弱作为老年人群核心临床综合征,在该类患者中高发,与残疾、急性加重、住院及全因死亡等不良结局密切相关,已成为呼吸疾病全周期管理的重要环节。本文围绕老年呼吸系统疾病与衰弱的双向关联,系统阐述衰弱的发生机制、临床评估工具及多维度管理策略,分析当前研究局限与未来方向,为该类患者衰弱的临床筛查、早期干预及规范化管理提供循证依据。


关键词(KeyWords):

老年;呼吸系统疾病;衰弱;评估工具;管理策略;研究进展


参考文献(References):

[1]Lahousse,Lies,Ziere,Gijsbertus,Verlinden,Vincentius J. A. , et al.Risk of Frailty in Elderly With COPD: A Population-Based Study[J].The Journals of Gerontology: Series A, 2016,71(5):689-695. 

[2]Yan, Li-Cong,Lu, Hong-Yan,Wang, Xiao-Yan, et al.Prevalence and risk factors of frailty in patients with chronic obstructive pulmonary disease: systematic review and meta-analysis [J].European Geriatric Medicine,2023,14(SI4):789-802. 

[3]查梦文,梁冲叶,刘婷婷,等.老年呼吸系统疾病患者的衰弱管理研究进展[J].临床肺科杂志,2026,31(1):94-99. 

[4]Verduri, Alessia,Carter, Ben,Laraman, James, et al.Frailty and its influence on mortality and morbidity in COPD: A Systematic Review and Meta-Analysis[J].Internal and Emergency Medicine,2023,18(8):2423-2434. 

[5]贾淑利,董碧蓉.《亚太区老年衰弱管理临床实践指南》解读[J].中国康复医学杂志,2020,35(5):609-612. 

[6]Wang,Zhe,Hu,Xiaojing,Dai,Qingxiang.Is it possible to reverse frailty in patients with chronic obstructive pulmonary disease?[J].Clinics,2020,75:1-6. 

[7]Akinlabi,Kola,Patel,Binny,Johnston,Ken,et al.Impact of Physical Frailty on Pulmonary Rehabilitation and Hospitalisation in COPD[J].European Respiratory Journal,2018,52(S62). 

[8]Kennedy, Cassie C.,Novotny, Paul J.,LeBrasseur, Nathan K. , et al.Frailty and Clinical Outcomes in Chronic Obstructive Pulmonary Disease[J].Annals of the American Thoracic Society,2019,16(2):217-224. 

[9]Limpawattana, Panita,Putraveephong, Siraphong, Inthasuwan , Pratchaya , et al.Frailty syndrome in ambulatory patients with COPD[J].International Journal of Chronic Obstructive Pulmonary Disease,2017,12:1193-1198. 

[10]Hanlon, Peter,Guo, Xuetong,McGhee, Eveline, et al.Systematic review and meta-analysis of prevalence , trajectories, and clinical outcomes for frailty in COPD[J].NPJ PRIMARY CARE RESPIRATORY MEDICINE,2023,33(1):1-12. 

[11]Wang,Lina,Zhang,Xiaolin,Liu,Xinmin.Prevalence and clinical impact of frailty in COPD: a systematic review and meta-analysis[J].BMC PULMONARY MEDICINE ,2023 ,23 (1):1-12. 

[12]Finamore,Panaiotis,Scarlata,Simone,Delussu,Anna Sofia , et al.Frailty Impact during and after Pulmonary Rehabilitation[J].COPD: Journal of Chronic Obstructive Pulmonary Disease,2021,18(5):518-524. 

[13]Liu,Chao,Xiong,Hui,Han,Xia,et al.Association of Physical Frailty With Incidence and Life Expectancy of COPD A Population-Based Cohort Study[J].Chest,2025,168(4):890-900. 

[14]Zhang, Dai,Tang, Wen,Dou, Li-Yang, et al.Four different frailty models predict health outcomes in older patients with stable chronic obstructive pulmonary disease [ J ] .BMC GERIATRICS,2022,22(1):1-11. 

[15]Liao, Lin-Yu,Chen, Huan-Hwa,Chen, Fenju, et al.Pulmonary Rehabilitation Exercise Package for Enhancing Health in Elderly COPD Patients With Frailty: An Experimental Study [J].Journal of Nursing Research,2025,33(5):e413-e413. 

[16]Maddocks, Matthew,Kon, Samantha S. C.,Canavan, Jane L. , et al.Physical frailty and pulmonary rehabilitation in COPD: a prospective cohort study [ J ] .Thorax , 2016 , 71 (11):988-995.

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