主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2018, Vol. 18 ›› Issue (8): 1034-1038.doi: 10.3969/j.issn.1672-1756.2018.08.007

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Ishii评分在社区老年人肌少症筛查中的应用

李敏;宋瑰琦;任海燕;韦学萍;瞿其梅   

  1. 中国科学技术大学附属第一医院 安徽省立医院老年科,230001 合肥市(李敏);护理部(宋瑰琦);神经内科(任海燕);心血管科(韦学萍);安徽省合肥市庐阳区亳州路街道社区卫生服务中心(瞿其梅)
  • 出版日期:2019-01-07 发布日期:2019-01-07
  • 基金资助:
    中卫护研院2017年科研项目(ZWINI-17-021);2017年安徽省创新城市医联体课题([2017]1)

The application of Ishii's scores in the screening for sarcopenia in community elderly

  • Online:2019-01-07 Published:2019-01-07

摘要: 目的:评价Ishii评分在社区老年人肌少症筛查中的准确性,为社区老年肌少症患者的早期发现提供参考。方法:纳入122例符合标准的社区老年人,应用Ishii评分进行肌少症评估;以亚洲肌少症工作组推荐的肌少症诊断标准为参考,使用灵敏度、特异度及ROC曲线等指标评价Ishii评分在社区老年人中应用的准确性。结果:男性Ishii评分ROC曲线下面积(AUC)为0.917,95%CI为0.823~1.000,P<0.001;女性AUC为0.859,95%CI为0.763~0.956,P<0.001;男性在以105为截点时约登指数达到最高水平;女性在以120为截点时约登指数达到最高水平。结论:Ishii评分对于社区老年人肌少症筛查具有较高的筛检价值。

关键词: 肌少症;肌肉质量;老年;筛查;评分

Abstract: Objective: To assess the application of Ishii's scores in the screening for sarcopenia in community elderly, to provide methodological basis for early detection of sarcopenia. Methods: A total of 122 eligible community elderly were assessed by using the Ishii's scores. Based on the diagnostic criteria of recommended by the Asian Sarcopenia Working Group, the sensitivity, specificity and ROC curves were used to evaluate the accuracy of Ishii's scores in the elderly community. Results: The AUC of men was 0.917, the 95% CI was from 0.823 to 1.000, P<0.001; the AUC of women was 0.859, the 95% CI was from 0.763 to 0.956, P<0.001. Score of 105 was the cut-off point for men when the Youden's index reached the highest; 120 was the cut-off point for women when the Youden's index reached the highest. Conclusion: The Ishii's scores have high value for the screening of sarcopenia in community old adults.

Key words: sarcopenia; muscle mass; elderly; screening; score