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为了查明慢性阻塞性肺病(CCPD)合并营养不良的患病率及其严重程度,对41例慢性阻塞性肺病,包括32例有呼吸衰竭(第Ⅰ组)和9例无呼吸衰竭(第Ⅱ组)进行标准体重%、TSF%、MAMC%、CHR 和血清白蛋白测定。结果:标准体重%<80%者,全组、第Ⅰ和Ⅱ组分别占58.6%、68.6%和22.2%;TSF%<80%,全组、第Ⅰ和Ⅱ组分别占70.7%、78.1%和44.4%;MAMC%<80%分别占73.2%、75.5%和66.7%。CHR 男性<6.2者分别占全组30例、第Ⅰ和Ⅱ组的90%、96%和60%;女性<4.0者分别占72.7%、85.7%和50%。血清白蛋白<34g/L,全组、第Ⅰ和Ⅱ组分别占41.2%、53.1%和 O。结论:(1)COPD 合并营养不良常见,而有呼吸衰竭者尤多见;(2)营养不良类型以蛋白质-热量不足型营养不良为本组多见的类型。
To determine the prevalence and severity of malnutrition in patients with chronic obstructive pulmonary disease (CCPD), 41 patients with chronic obstructive pulmonary disease, including 32 patients with respiratory failure (group I) and 9 patients without respiratory failure (group II Group) were measured for% body weight, TSF%, MAMC%, CHR and serum albumin. Results: The percentage of standard weight was less than 80% in group A, group Ⅰ and group Ⅱ accounted for 58.6%, 68.6% and 22.2% respectively; TSF% was less than 80% And 44.4% respectively; MAMC% <80% accounted for 73.2%, 75.5% and 66.7% respectively. The CHR men <6.2 accounted for 90%, 96% and 60% of the whole group, and the women of <4.0 accounted for 72.7%, 85.7% and 50% respectively. Serum albumin <34g / L, the whole group, the first and second group accounted for 41.2%, 53.1% and O. Conclusions: (1) COPD with malnutrition is common, but respiratory failure is more common; (2) malnutrition type of protein - calorie-deficient malnutrition-based group of the more common type.