贵州医科大学学报

1987, (04) 353-357

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慢性阻塞性肺病合并营养不良
MALNUTRITION COMPLICATING CHRONIC OBSTRUCTIVE PULMONARY DISEASE

张国培;陈家珠;
Zhang Guopei Dep of Intern Med

摘要(Abstract):

为了查明慢性阻塞性肺病(CCPD)合并营养不良的患病率及其严重程度,对41例慢性阻塞性肺病,包括32例有呼吸衰竭(第Ⅰ组)和9例无呼吸衰竭(第Ⅱ组)进行标准体重%、TSF%、MAMC%、CHR 和血清白蛋白测定。结果:标准体重%<80%者,全组、第Ⅰ和Ⅱ组分别占58.6%、68.6%和22.2%;TSF%<80%,全组、第Ⅰ和Ⅱ组分别占70.7%、78.1%和44.4%;MAMC%<80%分别占73.2%、75.5%和66.7%。CHR 男性<6.2者分别占全组30例、第Ⅰ和Ⅱ组的90%、96%和60%;女性<4.0者分别占72.7%、85.7%和50%。血清白蛋白<34g/L,全组、第Ⅰ和Ⅱ组分别占41.2%、53.1%和 O。结论:(1)COPD 合并营养不良常见,而有呼吸衰竭者尤多见;(2)营养不良类型以蛋白质-热量不足型营养不良为本组多见的类型。
In order to determine the prevalence and severity of malnutrition in hospi- talized patients of chronic obstructive pulmonary disease(COPD),41 cases with COPD,including 32 cases with respiratory failure(group Ⅰ)and 9 cases without (group Ⅱ),were assessed by percentage of standard body weight(SBW%), anthropometric measurements,creatinine ratio(CHR),and serum albumin. In total 41 cases,group Ⅰ and Ⅱ,the results of SBW%(<80%)were 56.6%, 68.6%,and 22.2%;the percentage of triceps skinfold(TSF,<80%)were 70%, 78.10%,and 44.4%;the percentage of midarm muscle circumference(MAMC%) were 73.2%,75.5% and 66.7%;and serum albumin(<345/L)were 41.2%, 53.1% and O respectively.In total 30 cases,group Ⅰ and Ⅱ CHR(<6.2) were 90%,96%,and 60% for male;and CHR(<4.0) were 72.7%,85.70%, and 50% for female respectively,we concluded that:(1) malnutrition is com- mon in COPD,especially in patients with respiratory failure;(2)type of pro- tein-caloric malnutrition was much more likely to be present in these patients.

关键词(KeyWords): 慢性阻塞性肺病;营养不良
COPD Malnutrition

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 张国培;陈家珠;
Zhang Guopei Dep of Intern Med

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DOI: 10.19367/j.cnki.1000-2707.1987.04.015

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