西南国防医药
西南國防醫藥
서남국방의약
MEDICAL JOURNAL OF NATIONAL DEFENDING FORCES IN SOUTHWEST CHINA
2014年
10期
1071-1074
,共4页
营养不良%肠内营养%肠外营养%慢性阻塞性肺疾病
營養不良%腸內營養%腸外營養%慢性阻塞性肺疾病
영양불량%장내영양%장외영양%만성조새성폐질병
malnutrition%enteral nutrition%parenteral nutrition%chronic obstructive pulmonary disease
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。
目的：調查慢性阻塞性肺疾病（COPD）患者營養不良的髮生情況，探討不同營養支持方式的效果。方法隨機選取292例住院 COPD 患者，用營養風險篩查2002（NRS2002）評估患者營養狀況，計算營養不良髮生率。將診斷為營養不良的患者隨機分為兩組，分彆給予腸內營養（EN）和完全胃腸外營養（TPN）支持，觀察併比較兩組治療前後的營養狀況改善情況及肺功能狀況。結果患者營養不良髮生率為44.5%，≥70歲者髮生率高于<70歲者（P <0.05）。兩組治療後的12箇相關指標（體格測量、血生化及呼吸功能等）均優于治療前（P <0.05）；除 MAC、MAMC 和 PA 外，其餘指標的改善情況 EN 組優于TPN 組（P <0.05）。結論 COPD 患者營養不良髮生率較高，應積極進行營養支持，在胃腸道功能正常時，首選腸內營養。
목적：조사만성조새성폐질병（COPD）환자영양불량적발생정황，탐토불동영양지지방식적효과。방법수궤선취292례주원 COPD 환자，용영양풍험사사2002（NRS2002）평고환자영양상황，계산영양불량발생솔。장진단위영양불량적환자수궤분위량조，분별급여장내영양（EN）화완전위장외영양（TPN）지지，관찰병비교량조치료전후적영양상황개선정황급폐공능상황。결과환자영양불량발생솔위44.5%，≥70세자발생솔고우<70세자（P <0.05）。량조치료후적12개상관지표（체격측량、혈생화급호흡공능등）균우우치료전（P <0.05）；제 MAC、MAMC 화 PA 외，기여지표적개선정황 EN 조우우TPN 조（P <0.05）。결론 COPD 환자영양불량발생솔교고，응적겁진행영양지지，재위장도공능정상시，수선장내영양。
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 12 indexes(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.
