基于CGA的干预措施在老年COPD稳定期合并营养不良患者中的效果评价
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摘要
①目的 将老年综合评估(CGA)引入临床,探讨其干预措施对慢性阻塞性肺疾病(COPD)稳定期合并营养不良患者的临床效果。②方法 选取2017年10月～2018年4月在我院老年病科住院的老年COPD稳定期合并营养不良的患者102例,男64例,女38例。将患者随机分成干预组(n=49)与对照组(n=53)。两组患者均给予常规药物治疗,并在干预前进行1次CGA,干预组针对发现的问题进行合理干预。两组患者均采用简易微型营养评定量表(MNA-SF)评估营养状况,检测入院时和出院2个月后肺功能指标、血液及生化营养指标、简易微型营养量表评分。③结果 与入院时比较,出院2个月后两组患者肺功能均有改善,干预组改善程度优于对照组(P<0.05),干预组血液生化营养指标及MNA-SF评分较对照组改善显著(P<0.01)。④结论 CGA及其干预措施能明显改善COPD稳定期合并营养不良患者的营养状态,缓解患者的临床症状。
Objective The comprehensive geriatric assessment(CGA) was introduced into the clinic and to explore the clinical effects of its interventions on patients with chronic obstructive pulmonary disease(COPD) with stable malnutrition.Methods A total of 102 patients with stable COPD combined with malnutrition(64 males and 38 females) were selected from the department of geriatrics in our hospital from October 2017 to April 2018.Patients were randomly divided into intervention group(n=49) and control group(n=53).Patients in both groups were given conventional drug therapy,and CGA was conducted once before the study,and reasonable intervention was conducted in the intervention group for the problems found.The short-form mini nutrition assessment(MNA-SF) was used to evaluate the nutritional status of the two groups of patients.The lung function index,blood and biochemical nutrition indicators,MNA-SF score were detected at the time of admission and 2 months after discharge.Results Compared with the time of admission,the lung function of the two groups improved after 2 months of discharge,and the improvement degree of the intervention group was better than that of the control group(P<0.05).The blood biochemical nutrition index and MNA-SF score of the intervention group were significantly improved than those of the control group(P<0.01).Conclusion CGA and its interventions can significantly improve the nutritional state of patients with stable chronic obstructive pulmonary disease combined with malnutrition,and relieve the clinical symptoms of patients.
Objective The comprehensive geriatric assessment(CGA) was introduced into the clinic and to explore the clinical effects of its interventions on patients with chronic obstructive pulmonary disease(COPD) with stable malnutrition.Methods A total of 102 patients with stable COPD combined with malnutrition(64 males and 38 females) were selected from the department of geriatrics in our hospital from October 2017 to April 2018.Patients were randomly divided into intervention group(n=49) and control group(n=53).Patients in both groups were given conventional drug therapy,and CGA was conducted once before the study,and reasonable intervention was conducted in the intervention group for the problems found.The short-form mini nutrition assessment(MNA-SF) was used to evaluate the nutritional status of the two groups of patients.The lung function index,blood and biochemical nutrition indicators,MNA-SF score were detected at the time of admission and 2 months after discharge.Results Compared with the time of admission,the lung function of the two groups improved after 2 months of discharge,and the improvement degree of the intervention group was better than that of the control group(P<0.05).The blood biochemical nutrition index and MNA-SF score of the intervention group were significantly improved than those of the control group(P<0.01).Conclusion CGA and its interventions can significantly improve the nutritional state of patients with stable chronic obstructive pulmonary disease combined with malnutrition,and relieve the clinical symptoms of patients.
引文
[1] Vogelmeier CF,Criner GJ,Martinez FJ,et al.Global strategy for the diagnosis,management,and prevention of chronic obstructive lung disease 2017 report[J].Arch Bronconeumol,2017,53(3):128-149
[2] Hillas G,Perlikos F,Tsiligianni I,et al.Managing comorbidity in COPD[J].International Journal of COPD,2015,10:95-109
[3] 朱惠莉.老年慢性阻塞性肺疾病的慢病管理现状及进展[J].老年医学与保健,2018,24(3):219-222
[4] Wang C,Xu J,Yang L,et al.Prevalence and risk factors of chronic obstructive pulmonary disease in China(the China Pulmonary Health [CPH] study):a national cross-sectional study[J].The Lancet,2018,391(10131):1706-1717
[5] 程燕,吴晶晶,孙尧.老年综合评估及干预在改善老年住院患者营养状态中的作用[J].中国医科大学学报,2015,44(10):945-947
[6] 傅静,张孟喜,刘跃华,等.老年综合评估护理计划在高龄老年住院病人中的应用[J].全科护理,2016,14(23):2401-2403
[7] Gr?nberg AM,Slinde F,Engstr?m CP,et al.Dietary problems in patients with severe chronic obstructive pulmonary disease[J].J Hum Nutriet,2005,18(6):445-452
[8] 陈凌炜.影响社区老年人焦虑、抑郁发生的相关因素及干预对策[J].江苏医药,2014,40(1):104-105
[9] 赵京梅,王永红,李国翔,等.对住院慢阻肺患者营养风险临床调查分析[J].临床肺科杂志,2018,23(6):1098-1100
[10] 黄潘文,文红,张平.慢性阻塞性肺疾病肺功能、CAT评分等与营养状况的相关性[J].临床肺科杂志,2015,20(8):1398-1400
[2] Hillas G,Perlikos F,Tsiligianni I,et al.Managing comorbidity in COPD[J].International Journal of COPD,2015,10:95-109
[3] 朱惠莉.老年慢性阻塞性肺疾病的慢病管理现状及进展[J].老年医学与保健,2018,24(3):219-222
[4] Wang C,Xu J,Yang L,et al.Prevalence and risk factors of chronic obstructive pulmonary disease in China(the China Pulmonary Health [CPH] study):a national cross-sectional study[J].The Lancet,2018,391(10131):1706-1717
[5] 程燕,吴晶晶,孙尧.老年综合评估及干预在改善老年住院患者营养状态中的作用[J].中国医科大学学报,2015,44(10):945-947
[6] 傅静,张孟喜,刘跃华,等.老年综合评估护理计划在高龄老年住院病人中的应用[J].全科护理,2016,14(23):2401-2403
[7] Gr?nberg AM,Slinde F,Engstr?m CP,et al.Dietary problems in patients with severe chronic obstructive pulmonary disease[J].J Hum Nutriet,2005,18(6):445-452
[8] 陈凌炜.影响社区老年人焦虑、抑郁发生的相关因素及干预对策[J].江苏医药,2014,40(1):104-105
[9] 赵京梅,王永红,李国翔,等.对住院慢阻肺患者营养风险临床调查分析[J].临床肺科杂志,2018,23(6):1098-1100
[10] 黄潘文,文红,张平.慢性阻塞性肺疾病肺功能、CAT评分等与营养状况的相关性[J].临床肺科杂志,2015,20(8):1398-1400