慢性阻塞性肺疾病稳定期营养不良与血瘀证的相关性研究

Study on the Correlation between Malnutrition and Blood-Stasis Syndrome of Patients with Chronic Obstructive Pulmonary Disease in Stable Phase

目的:旨在探讨COPD稳定期营养不良与血瘀证之间的关系,进而以期进一步的阐明COPD稳定期营养不良发生的中医机制,并为防治干预COPD稳定期营养不良提供一定的依据。方法:共纳入符合标准的门诊或住院96份病例,统计其血瘀证评分及营养状态评分,并对两者做x2检验。结果:通过分析发现存在营养不良风险及存在营养不良的患者其存在血瘀证的人数要高(P<0.05),血瘀与营养不良发生存在一定的关系。结论:血瘀是影响慢性阻塞性肺疾病稳定期营养状态的重要因素,对慢性阻塞性肺疾病稳定期营养不良的治疗过程应考虑对血瘀证的干预。

Objective： Our study aimed to investigate the relationship between Blood-Stasis syndrome and malnutrition of COPD patients in stable phase, and to provide some new evidences of TCM measure to prevent and combat the disease. Furthermore, the TCM pathological mechanisms of malnutrition in COPD patients were expected to be elucidated. Method： Data of 96 cases from out-patient or in-patient were included to be analyzed by using Chi-square test. Result： Patients of Blood-Stasis syndrome seemed to be easier in risking of malnutrition or in suffering from malnutrition. Conclusion： Blood-Stasis was the prominent TCM syndrome element of COPD in stable phase, and it played an important role in causing malnutrition. Thus, curing the Blood-Stasis syndrome is important in improving the nutritional status of COPD patients in stable phase.