133例慢性阻塞性肺病病人营养状况调查分析

To investigate and analyze of the nutritional status in 133 patients with chronic obstructive pulmonary disease

目的 对阳江市人民医院住院的慢性阻塞性肺病（COPD）病人营养状况调查分析,了解病人营养状况,并在临床对病人进行营养支持治疗,以减少病人平均住院天数.方法 2010年1月1日-2010年6月30日住院的慢性阻塞性肺病病人共计133例,对病人入院后三天膳食调查、入院当天体重指数（BMI）、三头肌皮褶厚度（TSF）、血清白蛋白（ALB）等进行检测,并对病人住院天数进行记录.结果 有76.7%的病人膳食摄入热卡水平没有达到推荐量90%;有63.9%的病人体重指数（BMI）低于18.5 kg/m2;有62.4%的病人三头肌皮褶厚度（TSF）相当于正常值90%以下;有42.1%的病人血清白蛋白（ALB）低于35 g/L;病人营养支持治疗后与2009年住院慢性阻塞性肺病病人平均住院天数减少3.2天.结论 医院住院的慢性阻塞性肺病病人普遍存在营养不良状况,有必要对这些病人进行营养支持治疗,改善营养状况.

Objective To investigate and analyze the nutritional status in patients with chronic obstructive pulmonary disease（COPD） from Yangjiang People＇s hospital, low down the average hospitalization days by treating these patiens with nutritional support. Methods 133 patients with COPD during 2010.1.1 to 2010.6.30 were analyzed. Dietary conditions were used three days after admission. Body mass index （BMI）, triceps skinfold thickness （TSF）, blood albumin（ALB） were also measured in the day of admission. Finally the length of hospitalization was recorded for each patient. Results 76.7% of patients＇ dietary calorie were not achieved 90% of the recommended amount; 63.9% of patients＇ BMI were lower than 18.Skg/m2, the proportion was 63.9%; 62.4% of patients＇ TSF were lower than 90% of the normal value;42.1% of 56 patients＇ ALB were lower than 35g/L. After treated with nutritional support, the average hospitalization days of patients with COPD were decreased 3.2 days compared with the patients of 2009.Conclusions Malnutrition is common among the in-patients with COPD. It is necessary to treat these patients with nutritional support to improve their nutritional status.