慢性阻塞性肺病静息能量消耗与体重指数的关系  

Study on relationship between resting energy expenditure and body mass index in patients with chronic obstructive pulmonary disease

作　　者：韩锋锋[1] 夏韶民[1] 罗勇[1] 徐卫国[1] 揭志军[1] 陆长虹[1] 蔡威[1] 

机构地区：[1]上海第二医科大学附属新华医院,上海200092

出　　处：《临床内科杂志》2002年第5期340-341,共2页Journal of Clinical Internal Medicine

摘　　要：目的　探讨慢性阻塞性肺病 (COPD)静息能量消耗 (REE)与营养状况的关系。方法　按体重指数 (BMI)从小到大依此将 3 3例COPD患者分为A、B、C三组 ,另设 2 0例健康者作对照组 (D组 ) ,运用间接测热法对上述 4组进行REE测定。结果　A、B、C、D组单位体重REE(REE/WT)分别是 ( 2 3 .8± 2 .8)、( 2 3 .4± 4.2 )、( 17.7± 2 .8)和 ( 2 0 .2± 1.7)kcal/kg ,A、B两组显著 >C、D组 ,C组 <A、B、D组 (P <0 .0 1) ,COPD组BMI与REE/WT呈显著负相关 (r =-0 .5 3 3 71,P <0 .0 1)。结论　COPD营养状况与基础能量代谢高度相关 ,COPD超高能量代谢的特点仅适用于营养不良及营养正常组 。Objective To study the relationship between resting energy expenditure and nutritional status in patients with COPD.Methods Patients with COPD were divided into three groups A,B,C according to BMI from low to high, and control subject as D group. REE were measured in A, B, C, D groups by indirect calorimetry with metabolic cart.Results REE/WT of A, B, C, D were(23.8±2.8),(23.4±4.2) amd(17.7±2.8),(20.2±1.7)?kcal/kg,respectively,it showed that A, B groups were higher than C, D groups and C group was the lowest in all groups significantly( P <0.01). A significant negative correlation existed between BMI and REE/WT in patients with COPD.Conclusion The relative increase resting energy expenditure bears a close relationship to the nutritional status in patients with COPD. Non overweight COPD are possessed of the characteristic of hyper metabolism.

关 键 词：慢性阻塞性肺病 静息能量消耗 体重指数 

分 类 号：R563.9[医药卫生—呼吸系统]