【摘要】：目的： 探討營(yíng)養(yǎng)支持和自主運(yùn)動(dòng)鍛煉對(duì)慢性阻塞性肺疾病穩(wěn)定期患者生活質(zhì)量和營(yíng)養(yǎng)狀況的影響。 方法： 本研究為前瞻性、隨機(jī)對(duì)照研究。98例慢性阻塞性肺疾病穩(wěn)定期患者,根據(jù)營(yíng)養(yǎng)狀況主觀綜合評(píng)價(jià)(SGA)營(yíng)養(yǎng)分級(jí)將所有患者行分層隨機(jī)化分組分為2組,對(duì)照組行一般治療,實(shí)驗(yàn)組在一般治療基礎(chǔ)上行營(yíng)養(yǎng)支持和自主運(yùn)動(dòng)鍛煉,療程12周,測(cè)定治療前后體重指數(shù)(BMI)、肱三頭肌皮褶厚度(TSF)、上臂圍(MAC)、血漿白蛋白(ALB)、慢性阻塞性肺病評(píng)估測(cè)試(CAT)評(píng)分,行治療后營(yíng)養(yǎng)狀況主觀綜合評(píng)價(jià)(SGA) 結(jié)果： 實(shí)驗(yàn)組患者治療前后體重指數(shù)(BMI)、肱三頭肌皮褶厚度(TSF)、上臂圍(MAC)、血漿白蛋白水平(ALB)有顯著增加(P0.01),慢性阻塞性肺病評(píng)估測(cè)試(CAT)評(píng)分有明顯下降(P0.01),營(yíng)養(yǎng)狀況主觀綜合評(píng)價(jià)(SGA)改善；對(duì)照組體重指數(shù)(BMI)、肱三頭肌皮褶厚度(TSF)、血漿白蛋白水平(ALB)無(wú)明顯差異(P0,05),上臂圍(MAC)有顯著下降(P0.05)；實(shí)驗(yàn)組治療后體重指數(shù)(BMI)、肱三頭肌皮褶厚度(TSF)、上臂圍(MAC)、血漿白蛋白水平(ALB)較對(duì)照組高(P0.01),慢性阻塞性肺病評(píng)估測(cè)試(CAT)評(píng)分較對(duì)照組低(P0.01),營(yíng)養(yǎng)狀況主觀綜合評(píng)價(jià)(SGA)較優(yōu)。 結(jié)論： 通過營(yíng)養(yǎng)支持和自主運(yùn)動(dòng)鍛煉可改善合并營(yíng)養(yǎng)不良的穩(wěn)定期慢性阻塞性肺疾病患者的營(yíng)養(yǎng)狀況,提高其生活質(zhì)量。
[Abstract]:Objective: to investigate the effects of nutritional support and autonomous exercise on quality of life (QOL) and nutritional status of patients with stable chronic obstructive pulmonary disease (COPD). Methods: 98 patients with stable chronic obstructive pulmonary disease (COPD) were randomly divided into two groups according to the subjective comprehensive evaluation of (SGA) nutrition status. The control group was treated with general treatment, the experimental group received nutritional support and autonomous exercise on the basis of general treatment, and the body mass index (BMI),) was measured before and after treatment. (TSF), (TSF), upper arm circumference (MAC), plasma albumin (ALB), chronic obstructive pulmonary disease evaluation (CAT) score, after treatment subjective comprehensive evaluation of (SGA) results: the body mass index (BMI), brachial triceps skinfold thickness (TSF), upper arm circumference (MAC), plasma albumin level was significantly increased in the experimental group before and after treatment (P 0.01). The (CAT) score of chronic obstructive pulmonary disease (COPD) was significantly decreased (P01), and the (SGA) was improved by subjective comprehensive evaluation of nutritional status. In the control group, the body mass index (BMI), triceps skinfold thickness (TSF), plasma albumin level (ALB) had no significant difference (P0, 05), but the upper arm circumference (MAC) decreased significantly (P 0.05). After treatment, the body mass index (BMI),) of the experimental group was higher than that of the control group (P 0.01), the (CAT) score of chronic obstructive pulmonary disease (COPD) was lower than that of the control group (P 0.01), and the subjective comprehensive evaluation of nutritional status (SGA) was better than that of the control group (P < 0.01). Conclusion: nutritional support and autonomous exercise can improve the nutritional status and quality of life of patients with stable chronic obstructive pulmonary disease complicated with malnutrition.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R563.9

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