老年慢性阻塞性肺疾病患者的营养状况及其影响因素分析  

Nutritional Status and Its Influencing Factors in Patients with Chronic Obstructive Pulmonary Disease

作　　者：王安秀 杨明莹 杨耀鹏[1] 靳小龙 周红坚[1] 刘建平[1] 林明[1] 杨绍芬 WANG Anxiu;YANG Mingying;YANG Yaopeng;JIN Xiaolong;ZHOU Hongjian;LIU Jianping;LIN Ming;YANG Shaofen(The Sixth Affiliated Hospital of Kunming Medical University,Yuxi 653100,China)

机构地区：[1]昆明医科大学第六附属医院,云南玉溪653100 [2]昆明医科大学第二附属医院

出　　处：《中国医学创新》2020年第26期147-152,共6页Medical Innovation of China

摘　　要：目的:探讨老年慢性阻塞性肺疾病(COPD)患者的营养状况及其影响因素,以期为临床医护人员制定营养宣教及营养干预提供指导依据。方法:选取2017年1月-2018年1月本院老年病科收治的老年COPD患者124例。根据2015年欧洲肠外肠内营养学会(ESPEN)提出的新营养不良诊断标准来评估营养不良。采用问卷调查法收集一般人口学资料及疾病相关指标情况,分析影响营养状况的相关因素。结果:根据ESPEN提出的新营养不良诊断标准,124例患者中,营养不良52例,无营养不良72例。单因素分析显示,营养不良与无营养不良患者的年龄、体重、前3个月体重、吸烟、饮酒、婚姻状况、居住地、居住情况、合并症、NRS2002评分、BMI、小腿围(CC)、红细胞、血红蛋白、钾、钠、降钙素原、FEV1%比较,差异均有统计学意义(P<0.05)。多因素分析显示,前3个月体重、BMI、婚姻状况是老年COPD患者营养不良的保护因素,婚姻状况是老年COPD患者营养不良的危险因素(P<0.05)。结论:老年COPD患者营养状况不容乐观,婚姻状况对老年COPD患者的营养状况有显著的影响,ESPEN的新营养不良诊断标准简单易行,值得临床推广应用。Objective:To explore the nutritional status and influencing factors of elderly patients with chronic obstructive pulmonary disease (COPD),so as to provide guidance for clinical medical staff to make nutrition education and nutrition intervention.Method:A total of 124 elderly COPD patients admitted to the Department of Geriatrics in our hospital from January 2017 to January 2018 were selected to evaluate malnutrition according to the new diagnostic criteria for malnutrition proposed by the European Society for Parenteral Nutrition (ESPEN) in 2015.General demographic data and disease-related indicators were collected by questionnaire survey to analyze the relevant factors affecting nutritional status.Result:According to the new diagnostic criteria for malnutrition proposed by ESPEN,of the 124 patients,52 cases were malnourished and 72 cases were non-malnourished.Single factor analysis showed that patients with malnutrition and malnutrition of three months ahead of the age,weight,weight,smoking,drinking alcohol,marital status,place of residence,living situation,complications,NRS2002 score,BMI,crus surrounds (CC),RBC,hemoglobin,potassium,sodium,calcitonin,FEV1% comparison,the differences were statistically significant (P<0.05).Multivariate analysis showed that weight,BMI and marital status in the first3 months were protective factors for malnutrition in elderly COPD patients,and marital status was risk factor for malnutrition in elderly COPD patients (P<0.05).Conclusion:The nutritional status of elderly PATIENTS with COPD is not optimistic,marital status has a significant impact on the nutritional status of elderly patients with COPD,the new malnutrition diagnostic standard of ESPEN is simple and easy to implement,which is worthy of clinical promotion and application.

关 键 词：营养不良 慢性阻塞性肺疾病 老年患者 

分 类 号：R563.9[医药卫生—呼吸系统]