杨 柳,李秀莉,陈东伟,郭庆涛

目的：评价急性期快速恢复（ACE）模式应用于老年糖尿病患者合并肌少症的效果分析，对步速，握力，骨骼肌质量指数，血糖达标天数，平均住院日及费用，药占比的影响。方法：选择我院2025年6月至2026年4月收治的90例老年糖尿病合并肌少症患者，随机按照患者意愿分为对照组45例及ACE组45例，对照组采用常规护理及治疗，ACE组结合老年综合评估的同时对患者进行药物及非药物个体化降糖及肌少症治疗，包括药物，营养，运动，心理，康复等干预措施，比较两组血糖达标天数，平均住院日及费用，药占比及90天后的步速，握力，骨骼肌质量指数改善程度。结果：ACE组血糖达标天数少于对照组（P＜0.05），平均住院日及住院费用、药占比与对照组比较明显下降（P＜0.05），90天后，与对照组相比，ACE组握力、步速及骨骼肌质量改善程度更加明显，均有明显提高（P＜0.05）。结论：ACE模式能够提高老年糖尿病合并肌少症患者的诊治效果，缩短血糖达标天数，降低平均住院日及费用、药占比等医疗指标，延缓肌少症发生，改善老年患者出院结局及生活质量，值得临床推广及应用。

急性期快速恢复模式老年人糖尿病肌少症

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