慢性阻塞性肺疾病患者营养状态对运动心肺功能的影响

被引：21

作者：

张晓雷

李胜岐

赵立

陈愉

杨淑芹

朱丽华

机构：

[1] 中国医科大学第二临床学院呼吸科,中国医科大学第二临床学院呼吸科,中国医科大学第二临床学院呼吸科,中国医科大学第二临床学院呼吸科,中国医科大学第二临床学院呼吸科,中国医科大学第二临床学院呼吸科沈阳,沈阳,沈阳,沈阳,沈阳,

来源：

中华结核和呼吸杂志 | 2002年 / 03期

关键词：

营养障碍; 肺疾病,阻塞性; 运动心肺试验;

D O I：

暂无

中图分类号：

R563.9 [其他];

学科分类号：

1002 ; 100201 ;

摘要：

目的　探讨营养状态对慢性阻塞性肺疾病 (COPD)患者运动心肺功能的影响。方法　4 3例COPD患者分为营养不良组 (15例 ) ,营养正常组 (2 8例 )和健康志愿者 (2 0名 )进行负荷连续递增的运动心肺功能试验。运动前行营养评价和常规肺功能检查。结果　 (1)COPD营养不良组最大氧耗量 ( VO2 max)、最大运动负荷 (Wmax)、最大氧脉搏 (O2 pulsemax)和无氧阈 (AT)低于营养正常组 ,两组比较差异有显著性 (P <0 0 5 ) ;通气氧耗 ( VO2 /W/ VE)和最大运动时的气急指数 (DImax)与营养正常组比较 ,差异有显著性 (P <0 0 5 )。 (2 )COPD患者理想体重百分比 (IBW % )与 VO2 max占预计值百分比、Wmax占预计值百分比、O2 pulsemax占预计值百分比、AT呈正相关 (r=0 6 96 ,0 4 32 ,0 717,0 82 2 ,P均<0 0 1) ,与DImax、 VO2 /W/ VE 呈负相关 (r=- 0 4 5 0 ,- 0 6 4 0 ,P均 <0 0 1)。结论　营养不良可以导致COPD患者肌肉有氧代谢能力和运动耐力降低。

引用

页码：21 / 24

页数：4

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