新医学
新醫學
신의학
NEW CHINESE MEDICINE
2014年
5期
328-331
,共4页
潘静%陈辉%戴元荣%郑永克
潘靜%陳輝%戴元榮%鄭永剋
반정%진휘%대원영%정영극
慢性阻塞性肺疾病%营养状况%肺功能
慢性阻塞性肺疾病%營養狀況%肺功能
만성조새성폐질병%영양상황%폐공능
Chronic obstructive pulmonary disease%Nutritional status%Pulmonary function
目的:探讨不同营养状态下COPD急性加重(AECOPD)患者肺功能及动脉血气状况差异。方法收集160例AECOPD住院患者,根据BMI分为BMI过低(<18.5 kg/m2)组、BMI正常(18.5-23.9 kg/m2)组,BMI过高(>24.0 kg/m2)组,分别检测各组患者的肺功能指标(FEV1、FEV1%),依据患者肺功能指标及临床表现分为肺功能轻度、中重度及极重度障碍,同时测定患者的动脉血pH值、PaO2、PaCO2。对AECOPD患者的BMI 与肺功能指标(FEV1、FEV1%)及血气分析指标(pH值、PaO2、PaCO2)进行相关性分析。结果不同BMI的AECOPD患者肺功能障碍程度比较差异有统计学意义(P<0.05),BMI 与FEV1、FEV1%呈正相关(r分别为0.558和0.463,P<0.05),pH、PaCO2及 PaO2与 BMI 无关(P均>0.05)。结论 AECOPD 患者的 FEV1、FEV1%和BMI有关。营养状态越差,肺功能障碍程度越严重,营养状态可能是COPD进展的危险因素之一。
目的:探討不同營養狀態下COPD急性加重(AECOPD)患者肺功能及動脈血氣狀況差異。方法收集160例AECOPD住院患者,根據BMI分為BMI過低(<18.5 kg/m2)組、BMI正常(18.5-23.9 kg/m2)組,BMI過高(>24.0 kg/m2)組,分彆檢測各組患者的肺功能指標(FEV1、FEV1%),依據患者肺功能指標及臨床錶現分為肺功能輕度、中重度及極重度障礙,同時測定患者的動脈血pH值、PaO2、PaCO2。對AECOPD患者的BMI 與肺功能指標(FEV1、FEV1%)及血氣分析指標(pH值、PaO2、PaCO2)進行相關性分析。結果不同BMI的AECOPD患者肺功能障礙程度比較差異有統計學意義(P<0.05),BMI 與FEV1、FEV1%呈正相關(r分彆為0.558和0.463,P<0.05),pH、PaCO2及 PaO2與 BMI 無關(P均>0.05)。結論 AECOPD 患者的 FEV1、FEV1%和BMI有關。營養狀態越差,肺功能障礙程度越嚴重,營養狀態可能是COPD進展的危險因素之一。
목적:탐토불동영양상태하COPD급성가중(AECOPD)환자폐공능급동맥혈기상황차이。방법수집160례AECOPD주원환자,근거BMI분위BMI과저(<18.5 kg/m2)조、BMI정상(18.5-23.9 kg/m2)조,BMI과고(>24.0 kg/m2)조,분별검측각조환자적폐공능지표(FEV1、FEV1%),의거환자폐공능지표급림상표현분위폐공능경도、중중도급겁중도장애,동시측정환자적동맥혈pH치、PaO2、PaCO2。대AECOPD환자적BMI 여폐공능지표(FEV1、FEV1%)급혈기분석지표(pH치、PaO2、PaCO2)진행상관성분석。결과불동BMI적AECOPD환자폐공능장애정도비교차이유통계학의의(P<0.05),BMI 여FEV1、FEV1%정정상관(r분별위0.558화0.463,P<0.05),pH、PaCO2급 PaO2여 BMI 무관(P균>0.05)。결론 AECOPD 환자적 FEV1、FEV1%화BMI유관。영양상태월차,폐공능장애정도월엄중,영양상태가능시COPD진전적위험인소지일。
Objective To study the pulmonary function and arterial blood gas of patients with chronic obstructive pulmonary disease of acute exacerbation (AECOPD)in different nutritional state. Methods One hundred and sixty cases were selected,and divided into 3 groups according to body mass index (BMI)as un-derweight group (BMI less than 1 8.5 kg/m2 ),normal group (BMI 1 8.5-23.9 kg/m2 )and ultra reorgani-zation group (BMI more than 24.0 kg/m2 ),respectively. According to patients' indexes of lung function (FEV1、FEV1%)and clinical manifestations,they were designated to mild,severe and very severe status of lung dysfunction. Arterial blood gas analysis such as pH,PaO2 ,PaCO2 in three groups were detected. The correlation between BMI,indexes of lung function (FEV1、FEV1%)and arterial blood gas analysis (pH, PaO2 ,PaCO2 )in patients with AECOPD were analyzed. Results Lung dysfunction was statistically different in three BMI group,P <0.05. There was positive correlation between BMI and FEV1 (r =0.558,P <0.05),FEV1% (r=0.463,P<0.05). There were no significant difference between BMI and pH,PaCO2 and PaO2 (P>0.05 ). Conclusion There is a certain correlation between BMI and FEV1 ,FEV1%. The worse nutritional status,the more serve lung dysfunction was identified. Malnutrition might likely be a risk fac-tor for COPD progression.