摘要
目的探讨稳定期慢性阻塞性肺疾病（COPD）患者营养状况与伴发其他系统常见老年病数量的关系。方法根据BMI值将158例稳定期COPD患者分为轻体重组（BMI〈18．5kg／m2）59例、正常体重组（18．5kg／m2≤BMI〈24．0kg／m2）47例、超体重组（24．0kg／m2≤BMI〈28．0kg／m2）37例和肥胖组（BMI≥28．0kg／m2）15例，比较4组患者体脂率、内脏脂肪指数、白蛋白、前白蛋白、血红蛋白及其他系统常见老年病发病情况等。结果超体重组和肥胖组患者的体脂率和内脏脂肪指数高于轻体重组和正常体重组，轻体重组白蛋白、前白蛋白、血红蛋白均低于正常体重组、超体重组和肥胖组，差异均有统计学意义（P〈0．05）。超体重组和肥胖组患者高血压、冠心病、脑卒中和血脂异常的发病率明显高于其他组（P〈0．05），轻体重组甲状腺功能异常的发病率明显高于其余3组（P〈0．05），而轻体重组和肥胖组肝功能不良的发病率均高于正常体重组和超体重组（P〈0．05）。结论稳定期COPD患者营养状况与伴发其他系统常见老年病的数量密切相关。
Objective To explore the relationship between nutrition status and the amount of common geriatric diseases of other systems accompanied in patients with stable chronic obstructive pulmonary disease （COPD）. Methods According to body mass index（ BMI）, 158 stable COPD patients were divided into low body weight group（ BMI 〈 18.5 kg/m2 ）, normal body weight group （ 18.5 kg/m2 ≤ BMI 〈 24.0 kg/m2 ）, overweight group（24.0 kg/m2 ≤BMI 〈28.0 kg/m2 ） and obesity group（ BMI ≥28.0 kg/m2 ）. The body fat rate, visceral fat index, albumin, pre-albumin, hemoglobin and common geriatric diseases of other systems accompanied were compared among the four groups. Results The body fat rate and visceral fat index in overweight group and obesity group were significantly higher than those of low body weight group and obesity group （ P 〈 0.05 ）. Albmin, per-albumin and hemoglobin in low body weight group were significantly lower than those of normal body weight group, overweight group and obesity group （P 〈 0.05 ）. The morbidities of hypertentsion, coronary heart disease, stroke and dyslipidemia in overweight group and obesity group were significantly higher than those of other groups （P 〈 0.05 ）. The morbidity of thyroid dysfunction in low body weight group was significantly higher than those of other three groups（P 〈 0.05 ）, but the morbidity of liver dysfunction in low body weight group and obesity group were higher than those of other two groups （ P 〈 0.05 ）. Conclusion The nutritional status is closely related with the amount of common geriatric diseases of other systems accompanied with COPD patients. COPD patients should be advised to keep BMI and other nutritional indexes in the normal range.
出处
《临床内科杂志》
CAS
2017年第5期329-331,共3页
Journal of Clinical Internal Medicine
关键词
慢性阻塞性肺疾病
常见老年病
体重指数
营养状况
Chronic obstructive pulmonary disease
Common geriatric disease
Body mass index
Nutritional status
