Observation on the curative effect of family enteral nutrition in elderly patients with chronic obstructive pulmonary disease in stable stage

doi:10.3877/cma.j.issn.2095-8757.2019.03.009

Abstract

Abstract:

Objective

To explore the effect of home enteral nutrition support in the elderly patients with chronic obstructive pulmonary disease (COPD) in stable stage with malnutrition.

Methods

From April 2016 to April 2018, 155 patients with COPD in stable stage with malnutrition who were treated and discharged from the Third Affiliated Hospital of Inner Mongolia Medical University were selected. After discharge, 79 patients (group A) were given conventional diet, and 76 patients (group B) were given conventional diet plus enteral nutrition suspension to support the treatment. One month later, they were observed the body mass index (BMI), serum albumin (ALB), total protein (TP), hemoglobin (HB), forced vital capacity (FVC), forced expiratory volume in the first second (FEV1), FEV1/FVC, FEV1% of the predicted value (FEV1%), exercise tolerance and quality of life.

Results

Compared with the group A, the BMI and ALB levels of group B were significantly higher (t=10.465, 6.189, P<0.05), the TP and Hb levels were not significantly changed (t=1.310, 1.302, P > 0.05), the FVC, FEV1, FEV1/FVC, FEV1% were significantly increased (t=11.999, 19.654, 13.418, 16.924, P<0.05), the quality of life symptom score, activity score, impact score and total score were significantly decreased (t=15.303, 6.773, 23.600, 14.766, P<0.05), 6MWT increased significantly (t=111.962, P<0.05).

Conclusion

Family enteral nutrition can improve the nutritional status, lung function, activity tolerance and quality of life of elderly patients with COPD in stable stage with malnutrition.

Key words: Pulmonary disease, chronic obstructive, Nutrition support, Aged

Jun Xue, Ya'nan Zhang, Zhaohe Song, Lei Wang, Baoyin Bo. Observation on the curative effect of family enteral nutrition in elderly patients with chronic obstructive pulmonary disease in stable stage[J]. Chinese Journal of Geriatrics Research(Electronic Edition), 2019, 06(03): 34-37.

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References 15

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组别	例数	BMI（kg/m²）	ALB（g/L）	TP（g/L）	Hb（g/L）
对照组	79	18.2±3.16	31.2±3.56	56.3±3.62	125.0±16.73
观察组	76	21.0±3.25	34.3±3.26	57.1±3.42	127.3±15.53
t值	?	10.465	6.189	1.310	1.302
P值	?	<0.05	<0.05	>0.05	>0.05

组别	例数	BMI（kg/m²）	ALB（g/L）	TP（g/L）	Hb（g/L）
对照组	79	18.2±3.16	31.2±3.56	56.3±3.62	125.0±16.73
观察组	76	21.0±3.25	34.3±3.26	57.1±3.42	127.3±15.53
t值	?	10.465	6.189	1.310	1.302
P值	?	<0.05	<0.05	>0.05	>0.05

组别	例数	FVC（L）	FEV1（L）	FEV1/FVC	FEV1占预计值的百分比（%）
对照组	79	2.10±0.22	1.02±0.12	49.58±5.18	47.15±5.30
观察组	76	2.49±0.25	1.42±0.14	58.8±4.02	58.86±6.43
t值	?	11.999	19.645	13.418	16.924
P值	?	<0.05	<0.05	<0.05	<0.05

组别	例数	FVC（L）	FEV1（L）	FEV1/FVC	FEV1占预计值的百分比（%）
对照组	79	2.10±0.22	1.02±0.12	49.58±5.18	47.15±5.30
观察组	76	2.49±0.25	1.42±0.14	58.8±4.02	58.86±6.43
t值	?	11.999	19.645	13.418	16.924
P值	?	<0.05	<0.05	<0.05	<0.05

组别	例数	症状评分	活动评分	影响评分	总分	6MWT（m）
对照组	79	54.43±3.39	67.20±7.56	45.67±3.30	58.5±4.63	198.2±5.32
观察组	76	44.22±4.54	60.81±7.64	33.31±3.38	48.12±4.79	359.4±4.36
t值	?	15.303	6.773	23.600	14.766	11.962
P值	?	<0.05	<0.05	<0.05	<0.05	<0.05

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