中国冶金工业医学杂志

不同营养支持治疗对COPD患者肺功能、血气分析及6 min步行距离的影响

作者：斯琴高娃

分类号：R 563

出版年,卷(期):页码：2015,32(5):499-500

摘要：

目的探讨不同营养支持对COPD患者肺功能、血气分析及6 min步行距离的影响。方法选择69例就诊我院COPD患者，随机分为营养组及对照组，各为34例和35例。两组均给予常规治疗,对照组常规治疗外,给予每日静滴20%脂肪乳250 ml，复方氨基酸250 ml。营养组除常规治疗外,服用肠内营养，共2周。结果治疗2周后两组肺功能FEV1%、FVC% 、FEV1/FVC均有改善,营养组状况明显优于对照组，差异有统计学意义（P＜0.05）。两组pH、PaCO2、PaO2及6 min步行距离均有改善,营养组改善明显优于对照组，差异有统计学意义（P＜0.05）。结论对于COPD 患者给予常规治疗之外，给予肠内营养支持治疗有效改善血气分析、肺功能、生活质量,肠内营养治疗效果优于静脉营养支持。

关键词：慢性阻塞性肺病；营养支持治疗；肺功能；血气分析；6 min步行实验

ObjectiveTo observe the effect of the different nutritional support therapy on lung function,blood gas analysis and walk test of 6 minutes in patients with chronic obstructive pulmonary disease(COPD).Methods69 COPD patients were randomly divided into nutrition group(34 cases)and control group(35 cases).In addition to the conventional treatment in two groups ,the patients in control group were taken intravenous drip daily with 250ml 20% fat milk and 250ml compound amino acids,while enteral nutrition for 2 weeks were received for the patients in nutrition group.ResultsAfter treatment for 2 weeks,FEV1%、FVC% 、FEV1/FVC of lung function in two groups were improved,which in the nutrition group were significantly better than that in the control group,the difference had statistically significance (P＜0.05).PH,PaCO2,PaO2and 6 minutes walk distance had been all improved,which in the nutrition group were significantly better than that in the control group,the difference had statistically significance(P＜0.05).ConclusionFor COPD patients，in addition to conventional treatment，enteral nutritional support therapy can improve blood gas analysis,lung function and live quality.The effect of enteral nutrition therapy is better than intravenous nutrition.Key Words:Chronic obstructive pulmonary disease;Nutritional support therapy;Lung function;Blood gas analysis;Six\|minute walk test

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参考文献：

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