摘要
目的探讨营养支持治疗对老年慢性阻塞性肺疾病(COPD)患者的应用价值。方法将82例老年COPD患者按照入院顺序分为干预组和对照组,每组41例。2组均给予COPD常规治疗,在此基础上对照组接受饮食指导,干预组采用营养支持治疗。治疗1个月后,比较2组患者的症状疗效,治疗前后血清白蛋白(Alb)与转铁蛋白(TRF)的变化,并观察肱三头肌皮褶厚度(TSF)、上臂围长(MAC)及理想体质量(IBW)比率的变化。结果治疗1个月后,干预组总有效率显著高于对照组,差异有统计学意义。治疗后,2组Alb与TRF水平都有所升高,但干预组升高幅度更大;2组TSF、MAC及IBW比率都有所增加,但干预组IBM比率增加程度更大,差异均有统计学意义。结论在常规治疗基础上应用营养支持治疗可有效改善老年COPD患者的临床症状,促进机体功能恢复,提高临床有效率,改善生活质量,值得临床广泛应用。
Objective To explore the clinical value of nutrition support therapy in the treat- ment of elderly patients with chronic obstructive pulmonary disease （COPD）. Methods 82 elderly patients with COPD were randomly divided into intervention group and observation group, 41 cases in each group. The patients in two groups were conducted with conventional treatment. On the ba- sis, the control group was conducted with dietary guidance, while the intervention group was con- ducted with nutrition support therapy. One month after treatment, the symptomatic effect in two groups was compared, levels of serum albumin （Alb） and transferring （TRF） were detected before and after treatment, and changes of triceps skinfold thickness （TSF）, mid - upper arm circumfer- ence （MAC） and ideal body weight （IBW） were observed. Results One month after treatment, the total effective rate of the intervention group was significantly higher than that of the control group. After treatment, the levels of Alb and TRF, TSF, MAC and IBW ratio in two groups were elevated by varying degrees, but the elevated range in the intervention group was significantly larger than that in the control group. Conclusion Application of nutrition support therapy on the basis of conventional treatment can effectively improve the clinical symptoms d elderly COPD patients, pro- mote the function recovery and improve quality of life, so it is worthy of clinical application.
出处
《实用临床医药杂志》
CAS
2013年第24期41-44,共4页
Journal of Clinical Medicine in Practice
基金
中国高校医学期刊临床专项资金(11321189)
关键词
营养支持
老年
慢性阻塞性肺疾病
营养不良
nutrition support therapy
elderly
chronic obstructive pulmonary disease
malnutrition
