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当前位置: 首页 > 文章 > 营养状况与老年稳定期慢性阻塞性肺疾病患者康复的关系 中国食物与营养 2019 (7) 69-71
Position: Home > Articles > 营养状况与老年稳定期慢性阻塞性肺疾病患者康复的关系 Food and Nutrition in China 2019 (7) 69-71

营养状况与老年稳定期慢性阻塞性肺疾病患者康复的关系

作  者：
王娜;李婧;薛冰
单  位：
内蒙古医科大学附属医院康复科
关键词：
营养状况;稳定期慢性阻塞性肺疾病;肺功能;康复
摘  要：
目的:探讨和研究营养状况与老年稳定期慢性阻塞性肺疾病患者康复之间的关系.方法:选取内蒙古医科大学附属医院2013年2月-2017年12月收治的慢性阻塞性肺疾病患者96例,根据微型营养评定法分为营养良好组31例、营养不良危险组30例和营养不良组35例,分析和比较3组肺功能、血气分析以及氧代谢各指标水平.结果:营养良好组患者肺活量(FVC)、用力呼气中期流速(MMF)、第1秒用力呼吸容积所占百分比(FEV1%)、大通气功能(MVV)、氧分压(PaO2)、血氧饱和度(Sa O2)以及静脉血氧饱和度(SvO2)、摄氧率(VO2)、氧合指数(CaO2)等指标均明显高于营养不良危险组和营养不良组,而营养不良危险组上述指标明显高于营养不良组(P<0.05或P<0.01),二氧化碳分压(PaCO2)和氧摄取率(ERO2)营养良好组明显低于其他两组,而营养不良危险组上述指标明显低于营养不良组(P<0.05或P<0.01),3组pH无显著差异(P>0.05).结论:老年稳定期慢性阻塞性肺疾病患者的营养状况与肺功能、氧代谢和血气分析指标具有明显相关性,临床上在治疗老年稳定期COPD时通过改善其营养状况可有效促进患者康复.
作  者：
WANG Na;LI Jing;XUE Bing;Department of Rehabilitation,The Affiliated Hospital of Inner Mongolia Medical University;Rheumatology Division,The Affiliated Hospital of Inner Mongolia Medical University;
单  位：
WANG Na%LI Jing%XUE Bing%Department of Rehabilitation,The Affiliated Hospital of Inner Mongolia Medical University%Rheumatology Division,The Affiliated Hospital of Inner Mongolia Medical University
关键词：
nutritional status;;stable chronic obstructive pulmonary disease;;lung function;;rehabilitation
摘  要：
Objective To explore the relationship between nutritional status and the rehabilitation of elderly patients with stable chronic obstructive pulmonary disease.Method We slected 96 cases of chronic obstructive pulmonary disease admitted by our hospital from February 2013 to December 2017,and according to the micronutrient assessment method,31 cases were divided into well-nourished group,30 cases of malnutrition risk group and 35 cases of malnutrition group,lung function,blood gas analysis and oxygen metabolism of three groups were analyzed and compared.Result Forced vital capacity(FVC),forced expiratory flow rate(MMF),the first second forced breathing volume percentage(FEV1%),large ventilation function(MVV),oxygen partial pressure(PaO_2),blood oxygen saturation(SaO_2)and venous blood oxygen saturation(SvO_2),oxygen uptake rate(VO_2)and oxygenation index(CaO_2),and other indicators of well-nourished patients were significantly higher than that of malnutrition risk group and malnutrition group,while the aboveindexes of malnutrition risk group were significantly higher than those of malnutrition group(P<0.05 or P<0.01),PaCO_2 and ERO_2 in well-nourished group were significantly lower than those in the other two groups,while those in the malnutrition risk group were significantly lower than those in the malnutrition group(P<0.05 or P<0.01),there was no significant difference in pH value of the three groups(P>0.05).Conclusion The nutritional status of elderly patients with stable chronic obstructive pulmonary disease was significantly correlated with pulmonary function,oxygen metabolism and blood gas analysis indicators,clinical treatment of stable chronic obstructive pulmonary disease in the elderly can effectively promote the recovery of patients by improving their nutritional status.

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