慢性阻塞性肺疾病患者营养不良发生率及影响因素分析  

Analysis of rate and influcing factor of malnutrition in patients with chronic obstructive pulmonary disease

作　　者：刘永文[1] 蔡冬雪[1] 

机构地区：[1]嘉应学院医学院附属医院急诊科,广东梅州514031

出　　处：《中国实用医刊》2012年第13期40-42,共3页Chinese Journal of Practical Medicine

基　　金：广东省梅州市科技局科研立项项目（2010865）

摘　　要：目的通过测算慢性阻塞性肺疾病（COPD）患者的体质量指数（BMI）进而了解其营养不良的发生率，并分析影响因素。方法选取嘉应学院医学院附属医院就诊的134例COPD患者作为研究对象，调查患者的一般情况，同时进行身高、体质量的测量和肺功能检查。结果COPD患者营养不良发生率为28．36％；年龄、文化程度、家庭收入等一般情况对COPD患者BMI的影响差异有统计学意义（P〈0．01），病程、1年内急性加重次数、1秒用力呼气容积占用力肺活量比值分级等临床因素对COPD患者BMI的影响差异有统计学意义（P〈0．01）；而性别对COPD患者BMI的影响差异无统计学意义（U=0．1040，P〉0．05）。结论COPD患者常伴有营养不良，其发生与多种因素有关，治疗时应加强营养支持治疗。Objective To study the rate and influcing factor of malnutrition by measuring body mass index（BMI） of patients with chronic obstructive pulmonary disease （COPD）. Methods One hun- dred and thirty-four patients with COPD in our hospital were selected. The general condition were investiga- ted, and height, weight and pulmonary function were detected. Results The rate of malnutrition was 28.36%. Age, education level, income and the clinical factors including course of disease, times of acute exacerbation in a year and the grade of FEV1% had significant influence on BMI in patients with COPD （P 〈 0. 01 ）. However, sex had no significant influence on BMI （ U = 0. 1040, P 〉 0. 05）. Conclusions Patients with COPD often have malnutrition, and there are many factors that related, therefore nutritional supportive treatment should be strengthened.

关 键 词：慢性阻塞性肺疾病 营养不良率 影响因素 

分 类 号：R563.9[医药卫生—呼吸系统]