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Abstract: Objective To explore the correlation between nutritional status and longterm mortality of inpatients with chronic obstructive pulmonary disease(COPD). Methods From January 2015 to July 2016, 82 patients with COPD were admitted to our hospital. The clinical data of patients were collected by retrospective analysis. The patients were divided into normal nutrition group (49 cases) and malnutrition group (33 cases) according to the level of BMI.The nutritional status, pulmonary function, hospital stay and longterm mortality of two groups were compared. Spearman correlation analysis was used to explore the relationship between the nutritional status of patients and the longterm mortality. Results The levels of serum albumin(ALB), prealbumin(PAB)and blood lymphocyte count(TCL) in malnutrition group were significantly lower than those in normal nutrition group(P<0.05). The levels of peak expiratory flow(PEF), forced expiratory volume in 1st second(FEV1)and FEV1/FVC in malnutrition group were significantly lower than those in normal nutrition group(P<0.05). The length of hospital stay and longterm mortality of patients in malnutrition group were significantly higher than those in normal nutrition group(P<0.05). Spearman correlation analysis showed that BMI was positively correlated with PEF, FEV1 and FEV1 / FVC of lung function(P<0.05), and BMI was negatively correlated with longterm mortality(P<0.05). Conclusion The nutritional status of COPD patients is closely related to the improvement of pulmonary function and the good recovery of prognosis. The longterm mortality of malnourished patients increases.
Key words: pulmonary disease, chronic obstructive, mortality, nutritional survey
Peng Liming, Zhou Rong. Relationship between nutritional status and longterm mortality of inpatients with chronic obstructive pulmonary disease[J]. Clinical Focus, doi: 10.3969/j.issn.1004-583X.2020.09.012.
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URL: https://huicui.hebmu.edu.cn/EN/10.3969/j.issn.1004-583X.2020.09.012
https://huicui.hebmu.edu.cn/EN/Y2020/V35/I9/833