关键词: 蛋白质能量营养不良, 营养状况, 药膳, 补益脾肾, 雌鸡粥

Abstract: Objective　To evaluate the effects of Jianpiyishenyaoshancijizhou（a type of congee with herbs，shredded female chicken breast and rice for invigorating the spleen and nourishing the kidney） on the frailty and nutritious status in community-dwelling frail elderly patients.Methods　From March to October 2017，a total of 72 community-dwelling frail elderly patients were sampled from Huachuan Community in Chengdu and equally divided into the experimental and control groups by the random number table.Both groups received four times of public combined with personalized health education at fortnightly intervals，the experimental group additionally ate 300-400 ml Jianpiyishenyaoshancijizhou on an empty stomach before breakfast，one time every other day，for 8 weeks（two courses of treatment）．Before the intervention and at the end of intervention，the frailty and nutritional status of both groups were evaluated by Fried's Frailty Phenotype （FP） and Mini-Nutritional Assessment （MNA），respectively.Results　Except for 4 dropouts in the control group and 3 dropouts and 1 exclusion case in the experimental group，the other 64 cases who completed the intervention were included in the final analysis.After intervention，the experimental group demonstrated lower mean scores of FP and its each item except for the unintentional weight loss compared with the control group（P<0.05）．Moreover，the experimental group demonstrated much higher mean scores of the MNA，and anthropometric measurements，dietary questionnaire，and subjective assessment except for the score of the global assessment （P<0.05）．Conclusion　Jianpiyishenyaoshancijizhou could significantly improve the frailty and nutritional status of community-dwelling frail elderly people，thus the quality of life of them was enhanced effectively.

Key words: Protein-energy malnutrition；Nutritional status；Medicated diet；Reinforcing spleen &, kidney；Female chicken congee