CAJ | 학술논문

目的：了解慢性阻塞性肺疾病（COPD）住院患者营养状况，为临床营养支持治疗的程度提供有力依据。方法对我院2013年5月至2014年5月间327例明确诊断COPD住院患者按60岁以下、60~70岁，70岁以上分三组进行营养筛查。结果327例入选病例中，判定为营养不足患者共169例，占51.7%，营养不足发生率比普通呼吸内科病人明显增高，且随年龄增长和病程延长营养不足发生率也增高。结论 COPD患者营养不足发生率明显高于住院患者平均发生率，且与年龄和病程长短有一定的正相关；同时营养支持远远不能满足COPD患者的需要并存在不合理应用，临床医师应更加重视COPD患者的营养支持的合理应用。
목적：료해만성조새성폐질병（COPD）주원환자영양상황，위림상영양지지치료적정도제공유력의거。방법대아원2013년5월지2014년5월간327례명학진단COPD주원환자안60세이하、60~70세，70세이상분삼조진행영양사사。결과327례입선병례중，판정위영양불족환자공169례，점51.7%，영양불족발생솔비보통호흡내과병인명현증고，차수년령증장화병정연장영양불족발생솔야증고。결론 COPD환자영양불족발생솔명현고우주원환자평균발생솔，차여년령화병정장단유일정적정상관；동시영양지지원원불능만족COPD환자적수요병존재불합리응용，림상의사응경가중시COPD환자적영양지지적합리응용。
Objective: To understand the hospitalized patients with chronic obstructive pulmonary disease (COPD) nutrition, provide powerful basis for the degree of clinical nutritional support treatment.Methods: From May 2013 to May 2013, 327 cases of diagnosis between COPD hospitalized patients under the age of 60, 60 ~ 70 years old, 70 years old of above three groups of nutritional screening. Results: 327 cases of selected cases, judged to be a total of 169 patients with malnutrition, accounted for 51.7%, the incidence of malnutrition than common respiratory medicine patients increased obviously, and extend along with the age growth and progression with a higher rate of malnutrition.Conclusion: COPD patients with malnutrition rates significantly higher than average incidence of hospitalized patients, and has certain positive correlation with age and length of the course of the disease reasonable application of nutritional support in COPD patients.