营养支持和自主运动锻炼对慢性阻塞性肺疾病稳定期患者生活质量的影响

发布时间：2019-06-12 04:27

【摘要】：目的：探讨营养支持和自主运动锻炼对慢性阻塞性肺疾病稳定期患者生活质量和营养状况的影响。方法：本研究为前瞻性、随机对照研究。98例慢性阻塞性肺疾病稳定期患者,根据营养状况主观综合评价(SGA)营养分级将所有患者行分层随机化分组分为2组,对照组行一般治疗,实验组在一般治疗基础上行营养支持和自主运动锻炼,疗程12周,测定治疗前后体重指数(BMI)、肱三头肌皮褶厚度(TSF)、上臂围(MAC)、血浆白蛋白(ALB)、慢性阻塞性肺病评估测试(CAT)评分,行治疗后营养状况主观综合评价(SGA) 结果：实验组患者治疗前后体重指数(BMI)、肱三头肌皮褶厚度(TSF)、上臂围(MAC)、血浆白蛋白水平(ALB)有显著增加(P0.01),慢性阻塞性肺病评估测试(CAT)评分有明显下降(P0.01),营养状况主观综合评价(SGA)改善；对照组体重指数(BMI)、肱三头肌皮褶厚度(TSF)、血浆白蛋白水平(ALB)无明显差异(P0,05),上臂围(MAC)有显著下降(P0.05)；实验组治疗后体重指数(BMI)、肱三头肌皮褶厚度(TSF)、上臂围(MAC)、血浆白蛋白水平(ALB)较对照组高(P0.01),慢性阻塞性肺病评估测试(CAT)评分较对照组低(P0.01),营养状况主观综合评价(SGA)较优。结论：通过营养支持和自主运动锻炼可改善合并营养不良的稳定期慢性阻塞性肺疾病患者的营养状况,提高其生活质量。
[Abstract]:Objective: to investigate the effects of nutritional support and autonomous exercise on quality of life (QOL) and nutritional status of patients with stable chronic obstructive pulmonary disease (COPD). Methods: 98 patients with stable chronic obstructive pulmonary disease (COPD) were randomly divided into two groups according to the subjective comprehensive evaluation of (SGA) nutrition status. The control group was treated with general treatment, the experimental group received nutritional support and autonomous exercise on the basis of general treatment, and the body mass index (BMI),) was measured before and after treatment. (TSF), (TSF), upper arm circumference (MAC), plasma albumin (ALB), chronic obstructive pulmonary disease evaluation (CAT) score, after treatment subjective comprehensive evaluation of (SGA) results: the body mass index (BMI), brachial triceps skinfold thickness (TSF), upper arm circumference (MAC), plasma albumin level was significantly increased in the experimental group before and after treatment (P 0.01). The (CAT) score of chronic obstructive pulmonary disease (COPD) was significantly decreased (P01), and the (SGA) was improved by subjective comprehensive evaluation of nutritional status. In the control group, the body mass index (BMI), triceps skinfold thickness (TSF), plasma albumin level (ALB) had no significant difference (P0, 05), but the upper arm circumference (MAC) decreased significantly (P 0.05). After treatment, the body mass index (BMI),) of the experimental group was higher than that of the control group (P 0.01), the (CAT) score of chronic obstructive pulmonary disease (COPD) was lower than that of the control group (P 0.01), and the subjective comprehensive evaluation of nutritional status (SGA) was better than that of the control group (P < 0.01). Conclusion: nutritional support and autonomous exercise can improve the nutritional status and quality of life of patients with stable chronic obstructive pulmonary disease complicated with malnutrition.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R563.9

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