老年慢性阻塞性肺疾病患者营养状况调查

Evaluation of nutritional status of elderly patients with chronic obstructive pulmonary disease

目的 应用微型营养评定（MNA）、人体测量学和实验室检查指标调查和分析老年慢性阻塞性肺疾病（COPD）患者非住院期间营养状况.方法 58例老年COPD患者在非住院期间接受MNA的问卷调查、人体测量学检测和临床实验室检查.结果 （1）根据MNA得分,老年COPD患者中营养不良和营养不良高危人群的发生率分别是6.9%和60.3%.（2）根据体质指数（BMI）、三头肌皮褶厚度（TSF）、中臂肌围（AMC）的测量值老年COPD患者营养不良发生率分别为55.2%、31%、24.1%.（3）根据血浆前白蛋白、血浆白蛋白相淋巴细胞计数显示老年COPD患者营养不良发生率分别是13.8%、31%、49.9%.结论 （1）老年COPD患者营养不良和营养不良的高危状态的发生率较高,必须加强营养干预.（2）提倡在老年COPD患者中应用MNA问卷进行营养状态评估,以供临床参考.

Objective To assess the nutritional status of elderly patients with chronic obstructive pulmonary disease （COPD） by mini nutritional assessment （MNA）. Methods MNA questionnaire, anthropometric parameters and laboratory test were used to assess the nutritional status of 58 elderly patients with COPD. Results The incidences of malnutrition and malnutrition risk were 6.9% and 60.3 % by the MNA scores, respectively. The incidences of malnutrition were 55.2 %, 31% and 24.1% according to the assessment of body mass index, triceps skin fold and midarm muscle circumference, re- spectively. The incidences of malnutrition were 13.8 %, 31% and 49.9 % by the assessment of prealbumin, serum albumin, lymphocyte, respectively. Conclusions There are higher incidences of malnutrition and malnutrition risk in the elderly patients with COPD. Therefore, nutritional intervene of elderly patients should be enhanced. MNA questionnaire may be used to evaluate the nutritional status of elderly patients with COPD for clinic treatment.