摘要
目的了解老年慢性阻塞型肺疾病(chronic obstructive pulmonary disease,COPD)患者营养不良的发生情况,并探讨其影响因素。方法回顾100例COPD老年患者的病历资料,比较营养不良者和营养正常者的临床资料,多因素Logistic回归分析法分析老年COPD患者发生营养不良的危险因素。结果100例老年COPD患者发生营养不良40例,营养不良发生率为40.00%。Logistic回归分析结果显示,年龄≥65岁(OR=4.81)、病程≥10年(OR=5.16)、COPD分级为Ⅲ级(OR=4.85)、有胃肠道疾病史(OR=5.42)、自费承担医疗费用(OR=4.14)、有糖尿病史(OR=4.72)是老年COPD患者发生营养不良的独立危险因素(P<0.05)。结论老年COPD患者易出现营养不良,尤其是病程超过10年、COPD分级为Ⅲ级、有胃肠道疾病和糖尿病史的65岁以上自费患者。
Objective To understand the incidence of malnutrition in elderly patients with chronic obstructive pulmonary disease(COPD),and to explore its influencing factors.Methods The medical records of 100 elderly patients with COPD were reviewed,and the clinical data of undernourished patients and nourished patients were compared.Multivariate Logistic regression analysis was used to analyze the risk factors of malnutrition in elderly patients with COPD.Results A total of 40 cases of malnutrition occurred in 100 elderly COPD patients,and the incidence of malnutrition was 40.00%.Logistic regression analysis showed that age≥65 years(OR=4.81),course of disease≥10 years(OR=5.16),COPD grade Ⅲ(OR=4.85),history of gastrointestinal disease(OR=5.42),self-pay bearing medical expenses(OR=4.14)and having a history of diabetes(OR=4.72)were independent risk factors for malnutrition in elderly patients with COPD(P<0.05).Conclusions Elderly patients with COPD are prone to malnutrition,especially self-financed patients over 65 years of age who had a course of more than 10 years,COPD grade Ⅲ,and history of gastrointestinal diseases and diabetes.
作者
何燕燕
朱虹
胡丽燕
HE Yanyan;ZHU Hong;HU Liyan(Department of ICU,the First People’s Hospital of Fuyang Hangzhou,Hangzhou 311401,China)
出处
《健康研究》
CAS
2021年第5期550-552,556,共4页
Health Research
基金
浙江省医药卫生科技计划项目(2020KY247)。
关键词
慢性阻塞性肺疾病
老年
营养不良
影响因素
chronic obstructive pulmonary disease
elderly
malnutrition
influencing factors
