慢性阻塞性肺疾病急性发作期营养干预治疗疗效分析

Nutritional supplementation in patients with acute exacerbation of chronic obstructive pulmonary disease

目的探讨营养干预对慢性阻塞性肺疾病急性发作期(AECOPD)患者的临床疗效。方法将68例AECOPD患者随机分为对照组和治疗组,对照组采用常规治疗,治疗组在常规治疗的基础上加用营养支持治疗,观察两组患者治疗前后呼吸困难评分、肺功能变化及30 d和60 d再住院率。结果两组治疗前后呼吸困难评分、肺功能及30 d和60 d再住院率等比较,差异均有统计学意义(P<0.05)。结论 AECOPD患者经营养干预治疗呼吸困难评分和肺功能得到明显改善,缩短了平均住院时间,减少住院费用,降低了再住院率,值得临床推广。

Aim To evaluate the efficacy of nutritional supporting treatment on pulmonary funtion.Methods Sixty-eight patients with COPD were randomly assigned to treatment group（n=34） or control group（n=34）.The patients in the control group received regular therapy,while the treatment group received nutritional supplementation based on the regular therapy.The changes of dyspnea scores,respiratory function,30 and 60 day readmission rate was observed before and after treatment.Results The differences in dyspnea scores,respiratory function,30-day and 60-day readmission rate between the two groups were statistically significant before and after the treatment（P0.05）.Conclusions This study indicates that nutritional supplementation can improve the dyspnea scores and respiratory funtion in patients with COPD,enhance the survival quantity of patients,curtail hospital stay and readmission rate,and decrease the cost of being in hospital.