CAJ | 학술논문

目的：通过统计分析，评价营养不良对慢阻肺急性加重住院患者的影响。方法收集64例慢阻肺急性加重患者，根据体重指数( BMI)分为营养不良组和对照组，分别对两组患者的死亡率、肺功能以及住院天数进行统计学检验；并对BMI与FEV1/FVC%、住院天数之间的关系进行统计学分析。结果两组患者在死亡率、肺功能和住院天数之间均有明显差异。另外BMI与FEV1/FVC%存在良好的正相关性，而与住院天数则有负相关性。结论营养不良是导致慢阻肺患者死亡率增加以及肺功能下降的一个独立的肺外因素，且营养不良直接影响慢阻肺急性加重患者康复时间，从而延长患者的住院天数。
목적：통과통계분석，평개영양불량대만조폐급성가중주원환자적영향。방법수집64례만조폐급성가중환자，근거체중지수( BMI)분위영양불량조화대조조，분별대량조환자적사망솔、폐공능이급주원천수진행통계학검험；병대BMI여FEV1/FVC%、주원천수지간적관계진행통계학분석。결과량조환자재사망솔、폐공능화주원천수지간균유명현차이。령외BMI여FEV1/FVC%존재량호적정상관성，이여주원천수칙유부상관성。결론영양불량시도치만조폐환자사망솔증가이급폐공능하강적일개독립적폐외인소，차영양불량직접영향만조폐급성가중환자강복시간，종이연장환자적주원천수。
Objective To evaluate the effect of malnutrition on hospitalized AECOPD patients. Methods 64 hospitalized AECOPD patients were divided into the malnutrition group and the control group according to their body mass index ( BMI) . Their mortality, lung function and duration of hospital stay were statistically compared be-tween the two groups, and the relationships of BMI to FEV1/FVC% and duration of hospital stay were also analyzed. Results There were significant differences in mortality, lung function and duration of hospital stay between the two groups (P=0. 04, P<0. 01, P<0. 01). BMI was positively correlated with FEV1/FVC%, and it was negatively correlated with duration of hospital stay. Conclusion Malnutrition is an independent factor leading to mortality in-creased and lung function declined of patients with COPD, and malnutrition can influence the recovery time of AECO-PD patients.