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目的:探讨营养支持治疗对西宁地区慢性阻塞性肺疾病急性加重期(AECOPD)患者肺功能的影响。方法:将72例AECOPD患者随机分为对照组和营养组,对照组采用常规治疗,营养组在对照组的基础上给予营养支持治疗,比较两组患者治疗前后肺功能、血气指标的变化情况。结果:两组患者治疗前肺功能、血气各项指标比较,差异均无统计学意义(P>0.05)。治疗3周后,营养组治疗前后相比,营养组与对照组治疗后相比FVC(%)、FEV1(%)、FEV1/FVC(%)、MMEF、PO2(mmHg)、SaO2(%)均有显著改善(P<0.05)。结论:营养支持治疗有助于改善西宁地区AECOPD患者肺功能,提高患者的生活质量。
Objective: To investigate the effect of nutritional support on lung function in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) in Xining. Methods: Seventy-two patients with AECOPD were randomly divided into control group and nutrition group. The control group was treated with conventional therapy. The nutrition group was given nutritional support based on the control group. The changes of pulmonary function and blood gas index before and after treatment were compared between two groups. Results: There was no significant difference in the indexes of pulmonary function and blood gas between the two groups before treatment (P> 0.05). After 3 weeks of treatment, the FVC, FEV1, FEV1 / FVC, MMEF, PO2 (mmHg) and SaO2 (%) in the nutrition group and the control group were significantly higher than those in the nutrition group before and after treatment There was a significant improvement (P <0.05). Conclusion: Nutritional supportive treatment can improve lung function and improve quality of life of patients with AECOPD in Xining.