第3腰椎骨骼肌指數(shù)對(duì)成年住院病人跌倒風(fēng)險(xiǎn)的影響

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Impact of skeletal muscle index at the third lumbar vertebra on fallrisk inadult inpatients DAI Yanjun12，SHIPing2，CHENGXiaoxue2，JIANGYifan’，WANGXuan'，XUZhiyong2，QILin2，ZHANGMin 1.School of Nursing and Rehabilitation，Shandong University，Shandong 25oo12 China;2.Qilu Hospital of Shandong University

*Corresponding Author ZHANG Min，E-mail： zhangmin @ qiluhospital.com

AbstractOjectie：Tinvestigateteectofseletalmusceiexatttidumbarvertebra（L3-SM）onfallisiultiatients. Methods：Atotalof49ptientsadmitedtoatertiarygradeAhospitalinJinancityhandongprovincewereselectedfromDeceber 2022toJuneelpatinttaofpatissivesigatediledmissonfallrs，-utrioalisselrity and pain were assessed.Results：Among the 429 adult inpatients， 163（38.00% ）were at moderate-to-high fall risk.Normal L3-SMI was observed in 358 patients （83.45% ），while lowL3-SMI was found in 71 patients （16.55% ）.Results of multivariate Logistic regression analysisshowdatfstigfopartiatisutaittitralseilit historyofhypertension，andhistoryofdiabetes，L3-SMwasasignificantinfluencingfactorformoderate-to-highfallisk P<0.05' ！ Results of subgroup analysis showed that among patients aged>65 years，with BMI KZ4.0kg/m2 ，and with independent or mildly dependent self-care ability，those with lowL3-SMI had a significantly higher fall risk（ （P<0.05） 0.Conclusions：Adult inpatients with low L3-SMI were atmoderate-toghfallisk.L-aserveassreeinidiatortoentifidividualsatmoderatetoghfallrsk.Isoay provide a basis for fallrisk management and clinical decision-making in adult inpatients.

KeywordsseletalmuscleideattethidmbrvertebraL3-SM;falsdults;ipatientsge;odymasidex;seaelty

doi：10.12102/j.issn.1009-6493.2025.14.022

跌倒是成年住院病人最常見的安全事件之一，已有研究結(jié)果顯示，每1000個(gè)床位會(huì)發(fā)生3～11例次跌倒，醫(yī)院跌倒傷害率約為 25%[1] 。（剩余10428字）