[1]王锦锦,张 颖,王 书.老年慢性阻塞性肺疾病患者的营养状况及其危险因素分析[J].医学信息,2022,35(07):148-150.[doi:10.3969/j.issn.1006-1959.2022.07.038]
　WANG Jin-jin,ZHANG Ying,WANG Shu.Nutritional Status of Patients with Chronic Obstructive Pulmonary Disease and its Risk Factors[J].Medical Information,2022,35(07):148-150.[doi:10.3969/j.issn.1006-1959.2022.07.038]
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老年慢性阻塞性肺疾病患者的营养状况及其危险因素分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年07期
页码:
148-150
栏目:
临床研究
出版日期:
2022-04-01

文章信息/Info

Title:
Nutritional Status of Patients with Chronic Obstructive Pulmonary Disease and its Risk Factors
文章编号:
1006-1959（2022）07-0148-03
作者:
王锦锦; 张 颖; 王 书
（安徽医科大学第三附属医院/合肥市第一人民医院老年病科干部病房，安徽 合肥 230061）
Author(s):
WANG Jin-jin; ZHANG Ying; WANG Shu
(Cadre Ward,Department of Geriatrics,the Third Affiliated Hospital of Anhui Medical University/Hefei First People’s Hospital,Hefei 230061,Anhui,China)
关键词:
慢性阻塞性肺疾病; 营养不良; 呼吸机
Keywords:
Chronic obstructive pulmonary disease; Malnutrition; Ventilator
分类号:
R563.9
DOI:
10.3969/j.issn.1006-1959.2022.07.038
文献标志码:
A
摘要:
目的 评估老年慢性阻塞性肺疾病（COPD）住院患者的营养状态并分析其危险因素。方法 选择2020年9月-2021年1月本院收治的110例慢性阻塞性肺疾病患者的临床资料，根据MNA-SF营养评估标准分为营养正常组（73例）和营养不良组（37例），比较两组一般资料、实验室指标，采用多因素Logistic回归分析老年慢性阻塞性肺疾病合并营养不良的独立危险因素。结果 单因素分析显示，营养不良组与营养正常组年龄、喝酒、1年加重住院次数、呼吸衰竭、病程、呼吸机使用情况、合并疾病种类比较，差异均有统计学意义（P＜0.05）；多因素Logistic回归分析显示，年龄、1年加重住院次数、病程、合并疾病种类为是老年慢性阻塞性肺疾病合并营养不良的独立危险因素（P＜0.05），呼吸机使用情况为其独立保护因素（P＜0.05）。结论 高龄、1年加重住院次数、病程、合并疾病种类为老年慢阻肺患者合并营养不良风险的独立危险因素，使用呼吸机可能为其独立保护因素。
Abstract:
Objective To evaluate the nutritional status of elderly patients with chronic obstructive pulmonary disease (COPD), and to analyze its risk factors.Methods A total of 110 patients with chronic obstructive pulmonary disease admitted to our hospital from September 2020 to January 2021 were selected and divided into the normal nutrition group (73 cases) and the malnutrition group (37 cases) according to the MNA-SF nutritional evaluation criteria. The general data and laboratory indexes of the two groups were compared. The independent risk factors of malnutrition in elderly patients with chronic obstructive pulmonary disease were analyzed by multivariate logistic regression.Results Univariate analysis showed that there were statistically significant differences in age, long-term oxygen therapy, drinking, hospitalization times, course of disease, whether to use ventilator, and types of combined diseases between malnutrition group and normal nutrition group (P<0.05). Multivariate Logistic regression analysis showed that age, acute exacerbation risk within 1 year, course of disease and type of comorbidities were independent risk factors for malnutrition in elderly patients with chronic obstructive pulmonary disease (P<0.05), and ventilator was an independent protective factor (P<0.05).Conclusion The elderly, the risk of acute exacerbation within one year, the course of disease, and the types of combined diseases are independent risk factors for malnutrition in elderly patients with COPD, and the use of ventilator may be an independent protective factor.

参考文献/References:

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更新日期/Last Update: 1900-01-01