| 慢性阻塞性肺病患者营养与餐后低氧的关系 |
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| 引用本文： | 董欢霁,罗勇,徐卫国,韩锋锋,汤庆娅.慢性阻塞性肺病患者营养与餐后低氧的关系[J].上海交通大学学报(医学版),2006,26(5):535-537. |
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| 作者姓名： | 董欢霁 罗勇 徐卫国 韩锋锋 汤庆娅 |
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| 作者单位： | 上海交通大学医学院新华医院呼吸内科 上海200092(董欢霁，罗勇，徐卫国，韩锋锋)，上海交通大学医学院新华医院营养中心 上海200092(汤庆娅) |
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| 摘 要： | 目的研究慢性阻塞性肺病(COPD)患者的营养状况与餐后低氧的关系。方法51例COPD急性加重期后的患者连续监测就餐前后SpO2,同时记录饮食情况并换算为各营养素的量。结果营养不良组COPD患者餐后SpO2低于餐前,降低幅度超过3%(P<0.05),进餐时间相对延长,营养物质摄入减少。SpO2变化与单位体质量总热量的摄入呈负相关(P<0.05)。结论重度COPD患者的营养状况可能与患者进餐后发生的缺氧、低氧血症有关,在营养支持中应考虑采取适当措施干预就餐引起的相关低氧血症的发生。
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| 关 键 词： | 慢性阻塞性肺病 SpO2下降 餐后低氧血症 营养状况 |
| 文章编号： | 0258-5898(2006)05-0535-03 |
| 收稿时间： | 2005-12-15 |
| 修稿时间： | 2005年12月15 |
Relationship between Nutritional Status and Meal-Induced Lower SpO2 in Patients with Chronic Obstructive Pulmonary Disease |
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| DONG Huan-ji,LUO Yong,XU Wei-guo,HAN Feng-feng,TANG Qing-ya.Relationship between Nutritional Status and Meal-Induced Lower SpO2 in Patients with Chronic Obstructive Pulmonary Disease[J].Journal of Shanghai Jiaotong University:Medical Science,2006,26(5):535-537. |
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| Authors: | DONG Huan-ji LUO Yong XU Wei-guo HAN Feng-feng TANG Qing-ya |
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| Institution: | 1.Department of Respiratory Medicine, 2.Center of Nutrition, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China |
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| Abstract: | Objective To study the relationship between nutritional status and meal-induced lower SpO_(2) in patients with chronic obstructive pulmonary disease(COPD). Methods SpO_(2) was continuously measured during meal time in 51 patients with COPD in different nutritional status.The sorts and quantities of foods were simultan-(eously) recorded. Results SpO_(2) was lower after meals in malnutrition group with a decreased level of more than 3%(P<0.05),comparatively more time was spent in taking the meals with less nutrition absorbed.The negative correlation between SpO_(2) fluctuation and Calorie/Weight intake was significantly indicated(P<0.05). Conclusion(Nutritional status) probably relates to meal-induced hypoxia or hypoxemia in patients with severe COPD.Thus,essential measures should be taken in the process of nutrition intervention. |
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| Keywords: | COPD lower SpO_2 meal-induced hypoxemia nutritional status |
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