摘要
目的调查慢性阻塞性肺疾病(COPD)患者营养不良的发生情况,探讨不同营养支持方式的效果。方法随机选取292例住院COPD患者,用营养风险筛查2002(NRS2002)评估患者营养状况,计算营养不良发生率。将诊断为营养不良的患者随机分为两组,分别给予肠内营养(EN)和完全胃肠外营养(TPN)支持,观察并比较两组治疗前后的营养状况改善情况及肺功能状况。结果患者营养不良发生率为44.5%,≥70岁者发生率高于<70岁者(P<0.05)。两组治疗后的12个相关指标(体格测量、血生化及呼吸功能等)均优于治疗前(P<0.05);除MAC、MAMC和PA外,其余指标的改善情况EN组优于TPN组(P<0.05)。结论 COPD患者营养不良发生率较高,应积极进行营养支持,在胃肠道功能正常时,首选肠内营养。
Objective To survey the reasons for malnutrition of patients with chronic obstructive pulmonary disease（COPD）and explore the effects of different nutrition support ways.Methods Through nutritional risk screening 2002（NRS2002）,292 patients with COPD were selected,their nutritional status was assessed and the malnutrition rate was calculated.The patients who had been diagnosed as malnutrition were divided randomly into 2 groups and were provided with enteral nutrition（EN）or total parenteral nutrition（TPN）support,respectively;the nutritional status,the improvement of the conditions and pulmonary functions of both groups were observed and compared before and after the treatment.Results The incidence of malnutrition in all patients was 44.5%,and the incidence of malnutrition in those who were 70 years old or more was higher than that in younger than 70 years old（P〈0.05）.Total 12indexes（e.g.anthropometric measurements,blood biochemistry and respiratory function） after the treatment were better than those before the treatment（P〈0.05） in two groups;except for MAC,MAMC and PA,the improvement of other indexes of EN Group was better than that of TPN group（P〈0.05）.Conclusion The incidence of malnutrition in the patients with COPD is very high,so nutrition support should be provided actively;if the gastrointestinal function is normal,enteral nutrition should be preferred.
出处
《西南国防医药》
CAS
2014年第10期1071-1074,共4页
Medical Journal of National Defending Forces in Southwest China
关键词
营养不良
肠内营养
肠外营养
慢性阻塞性肺疾病
malnutrition
enteral nutrition
parenteral nutrition
chronic obstructive pulmonary disease
