首页|期刊导航|中国老年保健医学|老年肌少症患者跌倒评估及康复干预的最佳证据总结

老年肌少症患者跌倒评估及康复干预的最佳证据总结OA

Summary of the best evidence for fall assessment and rehabilitation management in elderly patients with sarcopenia

中文摘要英文摘要

目的 通过检索关于老年肌少症患者跌倒风险评估与康复干预的高质量文献,全面梳理现有的最佳循证证据,以供临床实践使用.方法 遵循"6S"证据模型,系统检索了国内外权威数据库,包括UpToDate、Cochrane Library、BMJ Best Practice、NICE、SIGN等决策支持平台,以及PubMed、中国知网(CNKI)、维普(VIP)、万方(Wangfang Data)等主流学术数据库中关于老年肌少症患者跌倒评估及康复干预的高级别证据,检索时限为建库至2025年5月30日.由2名经过循证培训的研究人员独立完成文献质量评价与关键资料筛选工作,结合专家意见整合证据.结果 本研究共纳入文献8篇,包括临床实践指南2篇、专家共识2篇、系统评价2篇、文献综述1篇、随机对照试验1篇,分别从理论梳理与实证干预的角度丰富了证据层次.从跌倒风险评估、多学科管理、运动干预、营养支持、环境优化、健康教育7个层面形成16条最佳循证证据.结论 本研究总结的最佳证据科学、严谨、实用,能为临床老年肌少症患者预防跌倒及制定康复个体化方案提供借鉴.

Objective To systematically search,summarize,and synthesize the best available evidence on fall risk assessment and management strategies for elderly patients with sarcopenia.Methods Guided by the"6S"evidence model,a systematic search was conducted in authoritative databases and platforms,including UpToDate,the Cochrane Library,BMJ Best Practice,NICE,SIGN,PubMed,CNKI,VIP,and Wanfang Data,from their inception to May 30,2025,for high-level evidence on fall risk assessment and re-habilitation interventions in elderly patients with sarcopenia.Two researchers independently conducted literature screening,quality appraisal,and data extraction.The synthesized evidence was formulated by integrating the retrieved literature with expert opinions.Results After retrieval and screening,8 publications were included:2 clinical practice guidelines,2 expert consensus statements,2 systematic reviews,1 literature review,and 1 randomized controlled trial,enriching the evidence base with both theoretical syntheses and empirical data.Sixteen best evidence statements were ultimately extracted,covering seven domains:fall risk assessment,multidis-ciplinary management,exercise intervention,nutritional support,environmental optimization,health education,and other relevant as-pects.Conclusion The summarized evidence is scientifically rigorous and clinically practical.It can serve as a reference for develo-ping individualized fall prevention and management plans for elderly patients with sarcopenia,thereby promoting evidence-based prac-tice in this field.

黄利宾;潘晓;覃淑红;张琰;黄惠桥

广西医科大学第二附属医院 530005广西医科大学第二附属医院 530005广西壮族自治区江滨医院 530021广西壮族自治区江滨医院 530021广西医科大学第二附属医院 530005

老年肌少症跌倒风险评估循证管理证据总结

elderly sarcopeniafallrisk assessmentevidence-based managementevidence summary

《中国老年保健医学》 2026 (2)

26-31,6

广西壮族自治区卫生健康委员会课题(编号:Z-A20240226)

10.3969/j.issn.1672-2671.2026.02.005

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