刘欣艳++++++拓西平

    [摘要] 目的 探討营养支持对老年慢性阻塞性肺疾病急性加重期(AECOPD)患者临床疗效和生活质量的影响。 方法 选择2016年8～9月在上海市普陀区中心医院收治的老年AECOPD患者62例，按照随机数字表法分为常规治疗组(31例)和营养干预组(31例)。常规治疗组仅给予常规药物治疗，营养干预组在常规治疗组基础上给予营养支持治疗，疗程均为4周。分别采用微型营养评定法(MNA-SF)、COPD评估测试(CAT)、圣乔治呼吸问卷(SGRQ)对治疗前后两组患者的营养状态、急性发作、住院时间及生活质量评分进行比较。 结果 治疗前两组血清白蛋白、前白蛋白、血红蛋白水平及MNA-SF评分比较，差异均无统计学意义(P > 0.05)，治疗后4周，营养干预组上述指标均明显高于治疗前、治疗后2周及同期常规治疗组，差异均有统计学意义(均P > 0.05)。营养干预组住院时间明显短于常规治疗组，差异有统计学意义(P 0.05)，治疗后4周，营养干预组CAT评分明显低于常规治疗组，差异有统计学意义(P 0.05)；治疗后4周，两组生活质量各项评分及总分均降低，营养干预组上述评分均显著低于治疗前和常规治疗组，差异均有统计学意义(P 0.05). After treatment for 4 weeks， the indicators above in the nutrition intervention group were all higher than those of before treatment， after treatment for 2 weeks and the conventional treatment group， with statistically significant differences (all P 0.05). After treatment for 4 weeks， the scores of CAT in the nutrition intervention group was lower than that of conventional treatment group， with statistically significant differences(P 0.05). After treatment for 4 weeks， the scores of those above were all decreased and those in the nutrition intervention group were much lower than those of conventional treatment group ......