慢性阻塞性肺疾病患者入院时的主观整体营养评估。
Subjective global assessment of nutritional status of chronic obstructive pulmonary disease patients on admission.
机构信息
Department of Pulmonary Medicine, Chhatrapati Shahuji Maharaj Medical University, Lucknow, India.
出版信息
Int J Tuberc Lung Dis. 2010 Apr;14(4):500-5.
BACKGROUND
Identifying chronic obstructive pulmonary disease (COPD) patients with malnutrition is important to prevent associated mortality due to poor pulmonary function. There is currently no consensus regarding the application of the subjective global assessment (SGA) tool in Indian patients.
OBJECTIVE
To assess nutritional status using the SGA method in Indian COPD patients.
METHODS
A total of 106 hospitalised patients with COPD were included (mean age 55.58 +/- 7.82, male/female = 92/14). Pulmonary function tests, anthropometric measurements and biochemical tests were conducted in all subjects. The association of SGA scores (A, B or C) and body mass index (BMI) groups with other biochemical parameters were tested for statistical significance.
RESULTS
Of the 106 patients, 83% were malnourished (BMI < 20 kg/m(2)). According to SGA scores, 17.0% were well nourished, 59.5% were moderately malnourished and 23.5% were severely malnourished. SGA scores correlated positively with pulmonary function parameters and negatively with anthropometric parameters. However, there was no correlation for biochemical parameters.
CONCLUSION
The SGA is a simple screening tool for the assessment of the nutritional status of COPD patients in India.
背景
识别患有营养不良的慢性阻塞性肺疾病（COPD）患者对于预防因肺部功能不佳导致的相关死亡率非常重要。目前，在印度患者中应用主观整体评估（SGA）工具尚无共识。
目的
采用 SGA 方法评估印度 COPD 患者的营养状况。
方法
共纳入 106 例住院 COPD 患者（平均年龄 55.58 +/- 7.82，男/女=92/14）。所有受试者均进行了肺功能检查、人体测量和生化检查。测试了 SGA 评分（A、B 或 C）和体重指数（BMI）组与其他生化参数之间的关联，以检验其统计学意义。
结果
106 例患者中，83%存在营养不良（BMI < 20 kg/m(2))。根据 SGA 评分，17.0%营养良好，59.5%为中度营养不良，23.5%为重度营养不良。SGA 评分与肺功能参数呈正相关，与人体测量参数呈负相关。然而，生化参数之间没有相关性。
结论
SGA 是评估印度 COPD 患者营养状况的一种简单筛查工具。
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