中国食物与营养2017，Vol.23Issue(12)：67-70,4.
慢性阻塞性肺疾病患者的营养评估及营养支持现况调查
Cross-Sectional Investigation about Nutritional Assessment and Nutritional Support in Patients with Chronic Obstructive Pulmonary Disease
摘要
Abstract
[Objective] To investigate the nutritional status,nutritional support and efficacy of chronic obstructive pulmonary disease (COPD) patients in the ward,and to explore the effect of medical nutrition treatment on malnutrition.[Method] Using the NRS2002 scale,combined with nutrition related indicators (BMI,calf circumference,ALB,dietary intake,etc.) for diagnosis of malnutrition,through the hospital information management system and patient care records,detailed records of patients with nutritional support ways and nutrition al intake,analyzed nutritional support ways,energy and nutrients affect the allocation of the proportion of the nutritional status of patients.[Result] There were 197 patients on admission and 72.59％ of the patients with nutritional risk,49.75％ patients diagnosed as malnutrition,reasonable intake of only 23.47％ of the patients malnutrition in patients with reasonable nutrition only 17.35％ in proportion,the export of natural food,ONS,EN,PN ratio was 79.59％,5.10％,3.06％,12.24％.Before discharge,41.62％ of the patients with nutritional risk,22.84％ of patients diagnosed with malnutrition,82.22％ malnourished patients with reasonable calorie,reasonable nutrition were 100％ in proportion,with natural food,ONS,EN,PN ratio was 46.67％,31.11％,22％,0％.There were differences in nutritional support pathway and nutritional intake between malnourished patients and normal nutrition patients,all were P ＜ 0.05.[Conclusion] The patients with chronic obstructive pulmonary disease with poor nutritional status,ONS,EN and other nutrition support way can ensure the reasonable supply of energy and nutrients,nutritional support in patients with COPD should pay attention to the combination of different ways.关键词
慢性阻塞性肺疾病/营养不良/口服营养补充/肠内营养/肠外营养Key words
chronic obstructive pulmonary disease/malnutrition/oral nutritional supplements/enteral nutrition/parenteral nutrition引用本文复制引用
石劢,陈杰,陈禹,马小陶,金江丽..慢性阻塞性肺疾病患者的营养评估及营养支持现况调查[J].中国食物与营养,2017,23(12):67-70,4.基金项目
国家卫生计生委保健局第五期保健课题(项目编号:W2013BJ25). （项目编号:W2013BJ25）
