慢性阻塞性肺疾病急性加重时病人营养状态及免疫功能分析  

THE ANALYSIS OF NUTRITIONAL STATUS AND IMMUNE FUNCTION OF ACUTE EXACERBATION OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE( AECOPD) PATIENTS

作　　者：纪颖[1] 安晓杰[1] 邓赶飞[1] 

机构地区：[1]首都医科大学良乡教学医院,北京102400

出　　处：《内蒙古医科大学学报》2016年第1期61-64,共4页Journal of Inner Mongolia Medical University

摘　　要：目的：探究病人在慢性阻塞性肺疾病急性发作（AECOPD）时的营养状态及免疫功能。方法：回顾性分析2013-07-2014-07在我院住院的AECOPD病人入院时的各项营养指标及免疫指标（体重指数、血浆白蛋白、血浆前白蛋白、淋巴细胞计数）,判定病人AECOPD时营养状态及机体免疫功能,根据肺功能将其分为两组,应用t检验和一元线性相关进行分析。结果：AECOPD病人入院时白蛋白、前白蛋白、淋巴细胞绝对值明显下降,肺功能较差的病人更为明显,P值〈0.05,有统计学差别;同时肺功能差的住院时间更长,费用更高,死亡率更高。结论：大部分AECOPD时的病人都合并不同程度的营养不良及免疫功能下降。肺功能较差的病人更明显,急性加重时住院时间更长,费用更高,死亡率更高。Objective：To explore the nutritional status and immune function in AECOPD patients. Methods：Reviewed the data of nutritional and immune function（ BMI、plasma albumin,plasma per-al-bumin,lymphocyte count）in AECOPD patients（2013-07-2014-07）in our hospital,and determined the nutritional status and immunity function of organism of AECOPD patients, divided them into two groups according to pulmonary function. Results： The albumin,prealbumin and lymphocyte decreased obviously when the AECOPD patients admitted to hospital, especially in patients with poor lung function,P value〈0. 05,significant difference;while the patients with poor lung function in hospital longer,cost more and had higher mortality. Conclusion： Most patients of AECOPD have malnutrition and decreased immune function in varying degrees,especially in poor lung function patients,they have long hospitalization,higher cost and higher mortality.

关 键 词：慢性阻塞性肺疾病急性发作 营养不良 免疫功能 

分 类 号：R562.2[医药卫生—呼吸系统]