慢性阻塞性肺疾病急性加重期患者营养状态及营养支持效果分析  

Effect of nutritional support on nutritional status improvement for acute exacerbation of chronic obstructive pulmonary disease( AECOPD) patients

作　　者：夏进[1] 官和立[1] 唐万平[1] 颜晓玉[1] 周晖[1] 

机构地区：[1]成都大学附属医院呼吸内科,610081

出　　处：《齐齐哈尔医学院学报》2016年第9期1132-1135,共4页Journal of Qiqihar Medical University

基　　金：四川省卫生与计划生育委员会基金项目(NO.140001);四川省教育厅.四川基层卫生事业发展中心研究项目(NO.SJWF1423)

摘　　要：目的评估慢性阻塞性肺疾病急性加重期(acute exacerbation of chronic obstructive pulmonary disease,AECOPD)住院患者的营养状态,并观察其经过营养支持治疗后的各临床、实验室指标的变化情况及住院天数,了解营养支持的效果。方法本研究收集2015年1—10月入住成都大学附属医院呼吸内科的AECOPD患者临床资料,分析营养支持与各指标变化的关系。结果共纳入80例AECOPD患者,6例(7.5%)存在低体重(BMI<18.5kg/m^2);54例(67.5%)存在营养风险。存在营养风险的患者中,营养支持组平均每日能量及蛋白质总摄入量均高于对照组,有营养风险组入院及出院时Pa O2、呼吸频率、自觉症状、白蛋白水平变化有统计学意义(P<0.05)。营养支持组住院天数明显短于对照组。结论 COPD急性加重期存在营养风险的患者比例较高。合理的营养支持可加快病情恢复,缩短住院时间。Objective To evaluate nutritional status of patients with acute exacerbation of chronic obstructive pulmonary disease（ AECOPD）. Observe changes of clinical and experimental indicators after nutritional support and hospitalization time to evaluate efficacy of nutritional support. Methods The clinical data of patients diagnosed as AECOPD in Respiratory Medicine Department of Affiliated Hospital of Chengdu University from January 2015 to October 2015 were collected. The relationships between changes of those variables and nutritional support were analyzed. Results 80 patients were included in the study,6 patients（ 7. 5%） were low body weight（ BMI 18. 5kg / m^2）,54patients（ 67. 5%） had nutritional risk. Among patients with nutritional risk,average daily energy and protein intake of nutritional support group were significantly higher than control group. In the patients with nutritional risk,there were statistically significant changes in index including Pa O2,breath rate,and serum albumin level and symptoms between nutritional support group and comparison group（ P 0. 05）. The nutritional support group had shorter length of hospital stay than control group with nutritional risk.Conclusions Patients hospitalized with AECOPD have high nutritional risk. Nutritional support can accelerate recovery of the disease and shorten hospitalization time.

关 键 词：慢性阻塞性肺疾病急性加重 营养支持 

分 类 号：R656.1[医药卫生—急诊医学]