| Objective:Analyze the distribution of nine types of constitutions,physique and nutritional status of elderly frail patients in traditional Chinese medicine,and provide references for guiding the clinical treatment of elderly frail patients with traditional Chinese medicine from the perspective of physique and nutrition.Method:Using the cross-sectional survey method,the inpatients voluntarily participating in the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine and aged ?60years old were diagnosed based on Fried frailty phenotype,collected frail elderly cases that met the criteria for inclusion and exclusion,and applied the "Traditional Chinese Medicine Physique Classification" Evaluation and Judgment" scale,collect general data of patients,and use MNA-SF table for nutritional evaluation,and use the results to enter into excel to establish a database.If the measurement data conforms to the normal distribution,the average± The standard deviation(±S)is used for statistical description.If it does not conform to the normal distribution,it is expressed as the median interquartile range(M,P25,P75);descriptive analysis is used for statistical description of the count data,with frequency or The composition ratio means that the rank sum test is used to analyze the difference type for multiple groups of grade data,the chi-square test is used for the difference type analysis for other count data,and the Pearson correlation coefficient is used for the correlation analysis for the measurement data that meets the normal distribution.The measurement data and grade data that do not meet the normal distribution are analyzed by Spearman's correlation coefficient,and all statistical analysis is performed by SPSS25.0 statistical software.Result:1.A total of 238 subjects were investigated in this study,of which 197 were frail patients,accounting for 82.77%.Among the collected 197 elderly frail patients,the average age was 76.06±8.253 years;122 were females(61.93%),Male 75(38.07%),there is no significant difference between different genders of elderly frail patients at various ages.2.Among all patients,175 cases(88.8%)were not living alone,22 cases(11.2%)were living alone,144 cases(73.1%)were married,49 cases were widowed(24.9%),and 4 cases were divorced(2.0%).%)and 0 for unmarried persons;54 cases(27.4%)with junior high school education,46 cases(23.4%)with college degree or above,and 2 cases without education(1.0%);monthly income <1000 At least 14 cases(7.1%),1000-3000 at most 80 cases(40.6%),3000-5000(50 cases,25.4%),>5000(53,26.9%);classified by the nature of work,non-manual workers Most(134 cases,68.0%),and relatively few manual workers(63 cases,32.0%);97 cases of normal weight,accounting for 49.2%,fewer underweight,14 cases,7.1%;nutritional status Normal patients accounted for 50.25%,the risk of malnutrition was 41.12%,and malnutrition was 8.63%;there were 197 cases of decreased grip strength,accounting for94.4%;comorbidities accounted for the majority of 162 cases,82.23% of all patients;Among all frail patients,most patients suffer from hypertension,coronary heart disease,and diabetes.3.Analysis of the data of 197 elderly debilitated hospitalized patients found that grip strength was significantly positively correlated with BMI,grip strength was significantly negatively correlated with gait speed(i.e.walking time in the debilitating scale),and grip strength was significantly negatively correlated with age.Weekly walking time was significantly negatively correlated,nutritional results were significantly negatively correlated with BMI,significantly positively correlated with pace,and significantly negatively correlated with walking time.4.Among the elderly frail patients,there were 6 cases(3.0%)with the least calm constitution,and the most deviated physique was 191 cases(97%).Among them,the mixed constitution accounted for the majority,156 cases,followed by a single deviated constitution,35 cases.After processing the physique results according to the maximum method to obtain the basic physique,it can be seen that the most common type of weakened patients is Qi deficiency(86cases,43.7%),followed by: Yang deficiency(49 cases,24.9%),Yin deficiency(49 cases,24.9%).23 cases,11.7%),blood stasis(13 cases,6.6%),qi stagnation(10,5.1%),phlegm-dampness(8 cases,4.1%),calm(6 cases,3.0%),damp-heat Quality(2 cases,1.0%).According to the numerical code method,the physique of each research object was processed and statistically analyzed.197 patients formed a total of 117 codes,of which the simple Qi deficiency was the most(16,8.1%),followed by the tendency to Qi deficiency(8,4.1%),Qi-deficiency qualitative combined with Yang-deficiency qualitative(7,3.6%),Qi-deficiency qualitative combined tends to be Yang-deficiency qualitative(6.3%).Among all Jianjia physiques,the most likely type of Jianjia is Yang-deficiency quality and Qi-deficiency quality,followed by Qi-deficiency quality and Yang-deficiency quality.And among the number of patients with both constitutions,2 types of constitutions were the most common(66,42.3%).5.There are no statistically significant differences in the basic physique types of elderly patients with different nutritional status,different weights,and different grip strengths.Conclusion:1.The incidence of frailty among elderly inpatients is relatively high.Among elderly frail inpatients,non-manual workers,non-solitary persons,married persons,junior high school graduates,and those with monthly income of 1,000-3,000 yuan are the most common;most of them have reduced grip strength;Comorbidities are common,and most patients suffer from chronic diseases such as hypertension,coronary heart disease,and diabetes.2.There was a significant positive correlation between grip strength and BMI in elderly frail hospitalized patients,a significant negative correlation between grip strength and gait speed and age,a significant negative correlation between weekly walking time and age,and a significant negative correlation between nutritional results and BMI,and a significant positive correlation with gait speed,There is a significant negative correlation with the walking time.3.Partial physique is the most common among elderly debilitated inpatients,while calm constitution is rare,and the partial constitution is the most common among the partial constitution.Among the basic physiques,the most common physique type of elderly debilitated hospitalized patients is qi-deficiency,followed by yang deficiency.Among the patients with both constitutions,those with two constitutions at the same time are the most common.In the combination relationship,the combination of yang-deficiency and qi-deficiency is most likely to occur.4.There is no obvious correlation between the basic physique type and nutritional status,weight status,and grip strength of elderly frail hospitalized patients. |
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