老年慢性阻塞性肺疾病伴肺部感染患者营养不良的临床特点及危险因素分析

发布时间：2018-11-10 13:37

【摘要】：目的探讨老年慢性阻塞性肺疾病伴肺部感染患者营养不良的临床特点及危险因素,为临床诊疗提供依据,以降低营养不良的发生率。方法选取2009年12月-2012年12月在呼吸科治疗的130例老年慢性阻塞性肺疾病伴肺部感染住院患者临床资料进行回顾性分析,按照肺部感染营养不良的诊断标准进行筛选,分析其临床特点并根据病情进行危险因素分析。结果 130例患者中符合营养不良的为70例,发生率为53.8%;且老年慢性阻塞性肺疾病伴肺部感染营养不良以厌食、进行性体质量下降、肌肉组织萎缩等为主要临床表现;采用logostic多因素进行危险因素分析,动脉氧分压、第1秒用力呼气容量/用力肺活量(FEV1/FVC)、厌食是慢性阻塞性肺疾病伴肺部感染营养不良的高危险因素(P=0.005、0.016、0.021)。结论老年慢性阻塞性肺疾病伴肺部感染与营养不良之间是相互影响、相互制约的,临床应针对相应的危险因素,采取积极地预防对策。
[Abstract]:Objective to investigate the clinical characteristics and risk factors of malnutrition in elderly patients with chronic obstructive pulmonary disease (COPD) and pulmonary infection, and to provide evidence for clinical diagnosis and treatment in order to reduce the incidence of malnutrition. Methods the clinical data of 130 elderly patients with chronic obstructive pulmonary disease (COPD) with pulmonary infection who were treated in respiratory department from December 2009 to December 2012 were retrospectively analyzed and screened according to the diagnostic criteria of pulmonary infection malnutrition. The clinical characteristics were analyzed and the risk factors were analyzed according to the condition. Results 70 cases (53.8%) were in accordance with malnutrition, and the main clinical manifestations of chronic obstructive pulmonary disease (COPD) in elderly patients were anorexia, progressive body mass decline and muscular atrophy. Logostic was used to analyze the risk factors, arterial partial pressure of oxygen, forced expiratory volume / forced vital capacity (FEV1/FVC) in 1 second. Anorexia is a high risk factor for chronic obstructive pulmonary disease (COPD) with pulmonary infection malnutrition (P 0.005 0. 016 0. 021). Conclusion the relationship between pulmonary infection and malnutrition in the elderly patients with chronic obstructive pulmonary disease (COPD) is interacted and restricted. The clinical preventive measures should be taken according to the corresponding risk factors.
【作者单位】：杭州市第一社会福利院;杭州市第一人民医院呼吸内科;
【基金】：浙江省自然科学基金资助项目(LQ12H31001)
【分类号】：R563.9

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