本文選題：慢性阻塞性肺疾病　切入點(diǎn)：營養(yǎng)風(fēng)險(xiǎn)篩查　出處：《中國老年學(xué)雜志》2017年14期

【摘要】：目的應(yīng)用2002年歐洲腸外腸內(nèi)營養(yǎng)學(xué)會發(fā)布營養(yǎng)不良篩查指南(NRS-2002)調(diào)查住院慢性阻塞性肺疾病(COPD)患者營養(yǎng)不良發(fā)生情況,探討NRS-2002營養(yǎng)評價結(jié)果與體格檢查指標(biāo)和生化指標(biāo)的相關(guān)性。方法隨機(jī)抽取COPD患者218例,用NRS-2002進(jìn)行營養(yǎng)風(fēng)險(xiǎn)篩查,同時進(jìn)行體格檢查,計(jì)算對應(yīng)指標(biāo),測定血生化指標(biāo),分析NRS-2002營養(yǎng)評價結(jié)果與體格檢查指標(biāo)和生化指標(biāo)的相關(guān)性。結(jié)果 218例住院COPD患者營養(yǎng)不良(NRS-2002≥3分)發(fā)生率31.7%,不同年齡段和不同肺功能分級患者間營養(yǎng)不良發(fā)生率存在統(tǒng)計(jì)學(xué)差異(P0.05)。NRS-2002營養(yǎng)評價結(jié)果與2個體格檢查指標(biāo)[體質(zhì)指數(shù)(BMI)和去脂體重指數(shù)(FFMI)]和2個生化指標(biāo)[白蛋白(ALB)和前白蛋白(PA)]存在關(guān)聯(lián)性(P0.05)。結(jié)論住院COPD患者營養(yǎng)不良發(fā)生率較高,老年患者尤甚。NRS-2002適合作為住院COPD患者營養(yǎng)風(fēng)險(xiǎn)篩查工具,但在臨床應(yīng)用中應(yīng)結(jié)合體格檢查指標(biāo)和生化指標(biāo)進(jìn)行全面綜合營養(yǎng)評估。
[Abstract]:Objective to investigate the prevalence of malnutrition in hospitalized patients with chronic obstructive pulmonary disease (COPD) by using the 2002 European Society of Parenteral Nutrition (EPN) guidelines for the screening of malnutrition (NRS-2002). To explore the correlation between the results of NRS-2002 nutrition evaluation and physical examination and biochemical indexes. Methods 218 patients with COPD were randomly selected for nutritional risk screening with NRS-2002. At the same time, the corresponding indexes were calculated and blood biochemical indexes were measured. Results the results of nutritional evaluation of NRS-2002 were correlated with physical examination and biochemical indexes. Results the incidence of malnutrition in 218 COPD patients was 31.7, and the incidence of malnutrition was 31.7 among patients with different age groups and different grade of pulmonary function. There was a significant difference in birth rate between P0.05N, NRS-2002 nutritional evaluation results and two physical examination indexes (body mass index (BMI), body mass index (BMI) and body mass index (BMI)), and two biochemical indexes (Alb and PAA). Conclusion there is a significant correlation between the nutritional evaluation results of P0.05and COPD patients in our hospital. The incidence of malnutrition is high, NRS-2002 is suitable for nutritional risk screening of hospitalized COPD patients, but comprehensive nutritional assessment should be carried out in clinical application combined with physical examination and biochemical indexes.
【作者單位】： 重慶醫(yī)藥高等�？茖W(xué)校護(hù)理學(xué)院內(nèi)科護(hù)理教研室;重慶醫(yī)藥高等�？茖W(xué)校臨床醫(yī)學(xué)院預(yù)防教研室;第三軍醫(yī)大學(xué)新橋醫(yī)院營養(yǎng)科;
【基金】：國家自然科學(xué)基金資助項(xiàng)目(81273058)
【分類號】：R563.9

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 陸梅;李澤庚;朱潔;童佳兵;;COPD合并營養(yǎng)不良狀況的相關(guān)研究進(jìn)展[J];光明中醫(yī);2016年02期

2 黃潔;李承紅;;慢性阻塞性肺疾病營養(yǎng)不良研究進(jìn)展[J];中國老年學(xué)雜志;2016年01期

3 趙明利;李寧;;人體成分分析及其應(yīng)用[J];腸外與腸內(nèi)營養(yǎng);2016年01期

4 劉麗芬;;穩(wěn)定期COPD患者營養(yǎng)狀況與肺功能水平的關(guān)系探討[J];中國現(xiàn)代醫(yī)生;2016年01期

5 李娟;黃沈s，

本文編號：1684378