摘要
目的了解海南省某市慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)合并骨质疏松患者营养状况及其影响因素。方法使用问卷法收集2014年3月至2017年5月在本院住院治疗的628例慢性阻塞性肺疾病合并骨质疏松患者的资料,采用Guigoz等人研制的微型营养评估量表对患者进行营养状况评估,收集患者相关临床资料、血红蛋白、血清蛋白浓度等。结果 628例COPD合并骨质疏松患者的微型营养评估量表平均得分为(16.43±4.12)分,其中421例(67.03%)存在营养不良,113例(17.99%)存在营养不良风险,94例(14.97%)营养状况良好。年龄(OR=2.11)、受教育程度(OR=2.53)、病程(OR=2.33)、居住地区(OR=3.15)、医疗费支付方式(OR=4.57)、COPD疾病严重程度(OR=1.78)、骨质疏松症分级(OR=1.94)、膳食摄入状况(OR=2.14)是COPD合并骨质疏松患者营养状况的影响因素(P<0.05)。结论 COPD合并骨质疏松患者营养状况较差,并与年龄、受教育程度、病程、居住地区、医疗费支付方式、COPD疾病严重程度、骨质疏松症分级、膳食摄入等有关,医护人员应及时提供针对性的预防措施,改善患者的营养状况。
Objective To investigate nutritional status and its influencing factors in patients with chronic obstructive pulmonary disease（ COPD） complicated with osteoporosis in a city of Hainan province. Methods Questionnaires were used to collect data of628 cases of patients with chronic obstructive pulmonary disease and osteoporosis who received treatment at our hospital from March2014 to May 2017. Mini nutritional assessment developed by Guigoz et al. was used to assess nutritional status of patients,and clinical data included hemoglobin and serum protein concentration were collected. Results The average score of mini nutritional assessment scale of the 628 patients with COPD combined with osteoporosis was（ 16. 43 ± 4. 12）,and malnutrition occurred in 421 patients（ 67. 03%）,at risk of malnutrition occurred in 113 patients（ 17. 99%）,and 94 cases（ 14. 97%） had good nutritional status. Age（ OR = 2. 11）,education（ OR = 2. 53）,duration（ OR = 2. 33）,residential area（ OR = 3. 15）,medical payment（ OR= 4. 57）,COPD disease severity（ OR = 1. 78）,osteoporosis classification（ OR = 1. 94） and dietary intake（ OR = 2. 14） were influence factors of nutritional status in patients with COPD combined with osteoporosis（ P〈0. 05）. Conclusion Patients with COPD combined with osteoporosis had poor nutritional status,which was associated with education,age,degree,duration,area of residence,medical payment,COPD severity,osteoporosis grade and dietary intake. Medical personnel should timely provide targeted preventive measures,and improve the nutritional status of these patients.
作者
利海波
黄玉龙
潘燕碟
LI Haibo;HUANG Yulong;PAN Yandie(Department of Outpatient Service, Haikou Traditional Chinese Medicine Hospital of Hainan Province, Haikou 570216;Department of Respiratory Medicine, Haikou Traditional Chinese Medicine Hospital of Hainan Province, Haikou 570216)
出处
《中国骨质疏松杂志》
CAS
CSCD
北大核心
2018年第4期495-499,共5页
Chinese Journal of Osteoporosis
关键词
慢性阻塞性肺疾病
骨质疏松
营养状况
影响因素
Chronic obstructive pulmonary disease
Osteoporosis
Nutritional status
Influencing factors
作者简介
通讯作者：利海波，Email：xaa0123@163．com
