慢性阻塞性肺疾病患者营养不良的研究进展

Advances in malnutrition in patients with chronic obstructive pulmonary disease

营养不良是慢性阻塞性肺疾病(COPD)的常见并发症之一,也是COPD发病率和病死率的独立危险因素,因此需要对COPD患者合并营养不良的发生机制、营养状态评估及治疗进行总结,以便更好地对COPD患者进行综合管理,提高生活质量。营养/能量代谢失衡是导致COPD患者发生营养不良的主要原因。大部分研究显示营养支持治疗对COPD患者是有益的。未来需采用个体化营养干预治疗,综合评估营养支持对身体成分、身体功能、生活质量的影响,该文将对此作一综述。

Malnutrition is one of the common complications of chronic obstructive pulmonary disease(COPD),and it is also an independent risk factor for the morbidity and mortality of COPD.Therefore,it is necessary to summarize the mechanism,nutritional status assessment and treatment of malnutrition in COPD patients,in order to better manage COPD patients comprehensively,improve the quality of life.The imbalance of nutrition/energy metabolism is the main cause of malnutrition in patients with COPD.Most studies have shown that nutritional support therapy is beneficial to patients with COPD.In the future,individualized nutrition interventions will be needed to comprehensively evaluate the impact of nutritional support on body composition,body function,and quality of life.