在患有慢性阻塞性肺病 (COPD) 的营养不良门诊患者中提供营养支持:一项随机控制试点研究
Valerie Conway1, Craig Hukins2, Stacey Sharp3
1Nutrition and Dietetics, Brisbane South Chronic Disease Service, Metro South Hospital and Health Service, Wynnum, QLD 4178, Australia.
营养支持,包括粉末口服营养补充剂 (ONS) 和咨询,改善COPD患者的蛋白质摄入量,体重和生活质量. 遵守ONS是这些积极结果的关键.
科学领域:
- 呼吸系统医学 呼吸系统医学
- 临床营养学 临床营养学
- 公共卫生 公共卫生
背景情况:
- 在慢性阻塞性肺病 (COPD) 中,营养支持的证据主要依赖于即饮口服营养补充剂 (ONS).
- 有限的研究存在于粉状ONS与COPD患者营养不良的饮食咨询相结合的有效性.
研究的目的:
- 评估粉状ONS和个性化饮食咨询在COPD门诊患者中管理营养不良的有效性.
- 为了比较常规护理 (咨询+推购买ONS) 与增强干预 (咨询+免费提供ONS).
主要方法:
- 随机对照试验涉及33名营养不良的COPD门诊患者,持续了12周.
- 组A接受了咨询,并建议购买粉状ONS;组B接受了咨询和免费粉状ONS.
- 评估结果包括营养摄入量,体重和生活质量.
主要成果:
- 整个队列在蛋白质摄入量 (+25.4 g/d),体重 (+1.1 kg) 和生活质量 (-4.4) 中显著改善.
- 遵守ONS与更大的体重增加有关 (1.9公斤与0.4公斤相比).
- 在研究结束时,两组之间没有发现任何显著差异.
结论:
- 营养支持显著提高营养状况和生活质量在营养不良的COPD门诊患者.
- 遵守ONS对于实现改进至关重要,突出了ONS类型和提供方法的重要性.
- 进一步的研究应该考虑这些因素,以优化COPD管理中的营养干预措施.
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