营养支持对老年慢性阻塞性肺疾病急性加重期患者临床疗效和生活质量的影响
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 ......
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