摘要
慢性阻塞性肺疾病(COPD)病程长、易复发,许多患者常伴随发生营养不良,这不仅会直接影响患者的肺功能,还会对患者的预后产生负面影响,故适当的营养干预如肠内肠外营养支持、健康管理对COPD患者非常重要。目前COPD相关营养干预研究的目标人群主要聚焦在临床急性期患者,缺乏对稳定期患者的研究。为探索适合COPD稳定期患者的营养干预手段,本文对国内外关于COPD患者营养支持的研究进展进行综述,结果显示,适当的营养干预方式的确能够有效改善COPD患者的治疗效果及预后,且各种营养干预方式联合使用或结合康复管理干预效果更佳,其中营养干预联合社区康复管理对于COPD稳定期患者的预后更为有利。这表明社区或将成为未来COPD防治的主阵地,相关学者需加强在此方面的研究。
Chronic Obstructive Pulmonary Disease(COPD)has a long course and is prone to recurrence,with many patients often suffering from malnutrition.This not only directly affects their lung function but also has a negative impact on their prognosis.Therefore,appropriate nutritional interventions such as enteral and parenteral nutrition support,and health man-agement are crucial for COPD patients.Currently,research on nutritional interventions for COPD focuses mainly on patients in the acute phase,with a lack of studies on stable-phase patients.To explore suitable nutritional interventions for patients with stable COPD,this article reviews the research progress on nutritional support for COPD patients in China and interna-tionally.The results indicate that appropriate nutritional interventions can effectively promote the treatment outcomes and prognosis of COPD patients,and the combined use of various nutritional interventions or integration with rehabilitation man-agement shows better results.In particular,combining nutritional intervention with community rehabilitation management is more beneficial for the prognosis of stable-phase COPD patients.This suggests that the community may become the main battleground for future COPD prevention and control,and researchers need to strengthen their studies in this area.
作者
何保振
刘薇薇
王思媛
文思雨
赵星雨
高西
雷迅
黄浩
He Baozhen;Liu Weiwei;Wang Siyuan;Wen Siyu;Zhao Xingyu;Gao Xi;Lei Xun;Huang Hao(College of Public Health,Chongqing Medical University/Chongqing New-type Think Tank Public Health Security Center/Center for Medical and Social Development,Chongqing 401334,China;School of General Education,Chongqing College of Traditional Chinese Medicine,Chongqing 402760,China;Department of Traditional Chinese Medicine,University-Town Hospital of Chongqing Medical University,Chongqing 401331,China;Chongqing Institute of Health Education,Chongqing 401120,China)
出处
《保健医学研究与实践》
2024年第3期128-133,共6页
Health Medicine Research and Practice
基金
重庆市卫生健康委员会中医药科研项目(2023WSJK13)
重庆医科大学公共卫生学院“公卫菁英”(GWJY2022dy003)
重庆医科大学未来医学青年创新团队支持计划(W0013)。
关键词
慢性阻塞性肺疾病
营养评估
营养干预
社区管理
Chronic obstructive pulmonary disease
Nutritional assessment
Nutritional intervention
Community management
