临床肺科杂志
臨床肺科雜誌
림상폐과잡지
JOUNAL OF CLINICAL PULMONARY MEDICINE
2015年
2期
265-267,268
,共4页
慢性阻塞性肺疾病%营养%肺功能%机械通气
慢性阻塞性肺疾病%營養%肺功能%機械通氣
만성조새성폐질병%영양%폐공능%궤계통기
chronic obstructive pulmonary disease%nutrition%pulmonary function%mechanical ventilation
目的：探讨COPD患者营养状况与病情分级及机械通气风险间的关系。方法测定159例COPD患者营养指标，记录肺功能FEV1／FVC、FEV1 pred％、近一年内急性发作次数、mMRC分级及机械通气情况，并进行分组。结果 COPD患者BMI、白蛋白和淋巴细胞计数的营养不良发生率分别为51.9％、42.8％和48.4％。营养指标中BMI、白蛋白、前蛋白和淋巴细胞计数与FEV1／FVC、FEV1 pred％均有相关性，且与病情严重程度相关（P＜0.05），球蛋白与FEV1／FVC及FEV1 pred％无相关性。急性加重高风险组营养较低风险组差（P＜0.05）。机械通气组营养差于非机械通气组（P＜0.05）。结论 COPD患者营养不良发生率高，且营养状态与肺功能进展、急性加重及机械通气风险相关。
目的：探討COPD患者營養狀況與病情分級及機械通氣風險間的關繫。方法測定159例COPD患者營養指標，記錄肺功能FEV1／FVC、FEV1 pred％、近一年內急性髮作次數、mMRC分級及機械通氣情況，併進行分組。結果 COPD患者BMI、白蛋白和淋巴細胞計數的營養不良髮生率分彆為51.9％、42.8％和48.4％。營養指標中BMI、白蛋白、前蛋白和淋巴細胞計數與FEV1／FVC、FEV1 pred％均有相關性，且與病情嚴重程度相關（P＜0.05），毬蛋白與FEV1／FVC及FEV1 pred％無相關性。急性加重高風險組營養較低風險組差（P＜0.05）。機械通氣組營養差于非機械通氣組（P＜0.05）。結論 COPD患者營養不良髮生率高，且營養狀態與肺功能進展、急性加重及機械通氣風險相關。
목적：탐토COPD환자영양상황여병정분급급궤계통기풍험간적관계。방법측정159례COPD환자영양지표，기록폐공능FEV1／FVC、FEV1 pred％、근일년내급성발작차수、mMRC분급급궤계통기정황，병진행분조。결과 COPD환자BMI、백단백화림파세포계수적영양불량발생솔분별위51.9％、42.8％화48.4％。영양지표중BMI、백단백、전단백화림파세포계수여FEV1／FVC、FEV1 pred％균유상관성，차여병정엄중정도상관（P＜0.05），구단백여FEV1／FVC급FEV1 pred％무상관성。급성가중고풍험조영양교저풍험조차（P＜0.05）。궤계통기조영양차우비궤계통기조（P＜0.05）。결론 COPD환자영양불량발생솔고，차영양상태여폐공능진전、급성가중급궤계통기풍험상관。
Objective To study the correlation of nutritional indicators to the risk of mechanical ventilation and disease classification in patients with chronic obstructive pulmonary disease (COPD).Methods Their nutri-tional parameters,acute episodes,mMRC classification,mechanical ventilation,FEV1 /FVC and FEV1 pred% were observed and recorded.Results The malnutrition rates of BMI,albumin and lymphocyte count in COPD patients were 52.2%,42.8% and 48.4% respectively.BMI,albumin,former protein and lymphocyte count were correlate with FEV1 /FVC and FEV1 pred%,as well as associated with disease severity (P<0.05 ).There was no correlation between globulin and the levels of FEV1 /FVC and FEV1 pred%.The nutrition status was worse in the high-risk group than in the low-risk group (P<0.05 ),and it was also worse in the mechanical ventilation group than in the non-me-chanical ventilation group (P<0.05 ).Conclusion The incidence of malnutrition in COPD patients is high,which shows an effect on their prognosis,lung function and mechanical ventilation.
