天津医药
天津醫藥
천진의약
TIANJIN MEDICAL JOURNAL
2015年
8期
886-888
,共3页
慢性阻塞性肺疾病%主观全面评价法%营养状况%体测指数%生化指标%肺功能%COPD评估测试%穿梭行走测试
慢性阻塞性肺疾病%主觀全麵評價法%營養狀況%體測指數%生化指標%肺功能%COPD評估測試%穿梭行走測試
만성조새성폐질병%주관전면평개법%영양상황%체측지수%생화지표%폐공능%COPD평고측시%천사행주측시
chronic obstructive pulmonary disease%subjective global assessment%nutritional status%anthropometric measurements%biochemical test%pulmonary function test%COPD assessment test%shuttle walking test
目的：探讨主观全面评估法（SGA）评估慢性阻塞性肺疾病（COPD）患者营养状况的价值。方法选取122例COPD稳定期患者，根据SGA评分结果分为SGA-A（营养良好）组21例、SGA-B（轻-中度营养不良）组57例及SGA-C（重度营养不良）组44例。测定并比较3组的身体测量指数、生化指标、肺功能、COPD评估测试（CAT）及穿梭行走测试（SWT），分析这些指标与SGA评分的相关性。结果 SGA-B组、SGA-C组的体质指数（BMI）、上臂肌围（AMC）和FEV1占预计值的百分比（FEV1%Pred）均低于SGA-A组（P<0.05），SGA-B组与SGA-C组的差异无统计学意义；肱三头肌皮褶厚度（TSF）SGA-C组＜SGA-B组＜SGA-A组，CAT评分SGA-C组＞SGA-B组＞SGA-A组（P<0.05）；SGA-C组的增量穿梭行走测试（ISWT）距离、耐力穿梭行走测试（ESWT）速度低于SGA-A组（P<0.05）；3组的生化指标及第1秒用力呼气量（FEV1）/用力肺活量（FVC）无明显差异（P＞0.05）。SGA评分与身体测量指数、FEV1%Pred及运动能力指标呈负相关，与CAT评分呈正相关，与FEV1/FVC及生化指标无相关性。结论SGA与身体测量指数、FEV1%Pred、CAT及SWT具有相关性，可作为COPD患者营养评估的有效工具。
目的：探討主觀全麵評估法（SGA）評估慢性阻塞性肺疾病（COPD）患者營養狀況的價值。方法選取122例COPD穩定期患者，根據SGA評分結果分為SGA-A（營養良好）組21例、SGA-B（輕-中度營養不良）組57例及SGA-C（重度營養不良）組44例。測定併比較3組的身體測量指數、生化指標、肺功能、COPD評估測試（CAT）及穿梭行走測試（SWT），分析這些指標與SGA評分的相關性。結果 SGA-B組、SGA-C組的體質指數（BMI）、上臂肌圍（AMC）和FEV1佔預計值的百分比（FEV1%Pred）均低于SGA-A組（P<0.05），SGA-B組與SGA-C組的差異無統計學意義；肱三頭肌皮褶厚度（TSF）SGA-C組＜SGA-B組＜SGA-A組，CAT評分SGA-C組＞SGA-B組＞SGA-A組（P<0.05）；SGA-C組的增量穿梭行走測試（ISWT）距離、耐力穿梭行走測試（ESWT）速度低于SGA-A組（P<0.05）；3組的生化指標及第1秒用力呼氣量（FEV1）/用力肺活量（FVC）無明顯差異（P＞0.05）。SGA評分與身體測量指數、FEV1%Pred及運動能力指標呈負相關，與CAT評分呈正相關，與FEV1/FVC及生化指標無相關性。結論SGA與身體測量指數、FEV1%Pred、CAT及SWT具有相關性，可作為COPD患者營養評估的有效工具。
목적：탐토주관전면평고법（SGA）평고만성조새성폐질병（COPD）환자영양상황적개치。방법선취122례COPD은정기환자，근거SGA평분결과분위SGA-A（영양량호）조21례、SGA-B（경-중도영양불량）조57례급SGA-C（중도영양불량）조44례。측정병비교3조적신체측량지수、생화지표、폐공능、COPD평고측시（CAT）급천사행주측시（SWT），분석저사지표여SGA평분적상관성。결과 SGA-B조、SGA-C조적체질지수（BMI）、상비기위（AMC）화FEV1점예계치적백분비（FEV1%Pred）균저우SGA-A조（P<0.05），SGA-B조여SGA-C조적차이무통계학의의；굉삼두기피습후도（TSF）SGA-C조＜SGA-B조＜SGA-A조，CAT평분SGA-C조＞SGA-B조＞SGA-A조（P<0.05）；SGA-C조적증량천사행주측시（ISWT）거리、내력천사행주측시（ESWT）속도저우SGA-A조（P<0.05）；3조적생화지표급제1초용력호기량（FEV1）/용력폐활량（FVC）무명현차이（P＞0.05）。SGA평분여신체측량지수、FEV1%Pred급운동능력지표정부상관，여CAT평분정정상관，여FEV1/FVC급생화지표무상관성。결론SGA여신체측량지수、FEV1%Pred、CAT급SWT구유상관성，가작위COPD환자영양평고적유효공구。
Objective To explore the subjective global assessment (SGA) to evaluate the nutritional status of patients with chronic obstructive pulmonary disease(COPD). Methods Patients with stable COPD (n=122) were included and divid?ed into three groups base on their SGA scores:SGA-A (n=21), SGA-B (n=57), SGA-C (n=44). Nutritional status of all pa?tients was assessed by SGA. Anthropometric measurement, biochemical test, pulmonary function test, COPD assessment test (CAT) and shuttle walking test (SWT) were studied between all three groups to search statistical significance and correlation with SGA. Results Body mass index(BMI), arm muscle circumference (AMC) and forced expiratory volume in the first sec?ond%of predicted (FEV1%Pred) were all lower in SGA-B and SGA-C than those in SGA-A(P<0.05),there were no statis?tical differences of these parameters between SGA-B and SGA-C. Triceps skin fold (TSF) was lower in SGA-C than that in SGA-B than that in SGA-A, while CAT score is the reverse order (P<0.05). The walking distance of incremental shuttle walking test (ISWI) and the endurance time of endurance shuttle walking test (ESWI) were lower in SGA-C than that in SGA-A (P<0.05). There were no statistical differences of forced expiratory volume in the first second (FEV1)/forced vital ca?pacity(FVC), biochemical parameters between all three groups. SGA scores correlated positively with CAT and negatively with anthropometric parameters, FEV1%Pred and SWT (P<0.05). However no correlations was deduced between SGA scores with FEV1/FVC and biochemical parameters. Conclusion SGA scores correlated with anthropometric parameters, FEV1%Pred, CAT and SWT. SGA is an effective method to assess the nutritional status in patients with stable COPD.
