TY -的T1 -一个门诊慢性阻塞性肺病患者的营养补充计划JF -欧洲呼吸杂志》乔和J SP - 720 LP - 724欧元六世- 7 - 4盟bloom可非盟-洛韦,非盟——精益,我非盟- Banham SW Y1 - 1994/04/01 UR - //www.qdcxjkg.com/content/7/4/720.abstract N2 -研究评估补充营养的作用在气肿慢性阻塞性肺疾病(COPD)患者显示冲突的结果。改善呼吸道肌肉力量和运动能力证明后密集的和昂贵的受控条件下的营养支持方案。我们评估一项简单的门诊临床营养支持。十二个营养不良的COPD患者(9男3女;平均年龄66岁;< 90% ideal body weight) were studied. Forced vital capacity (FVC), forced expiratory volume in one second (FEV1), estimation of maximal oxygen uptake (VO2max) during exercise, respiratory muscle strength (PImax and PEmax), and measurement of body weight, height, triceps skinfold thickness, and mid-arm muscle circumference were performed before and after a 4 month period of out-patient nutritional support. Patients were advised by a dietician on increasing their daily caloric intake by a minimum of 50% above estimated daily energy expenditure. Three patients withdrew from the study. The mean increase in body weight in the nine remaining patients after 4 months of supplementation was 0.3 kg. There was no significant improvement in the anthropometric measures, lung function, respiratory muscle strength or VO2max for the group as a whole. Three patients who gained more than 1 kg weight were from a higher socioeconomic background compared with those who failed to do so. We conclude that achieving weight gain and improving lung function by means of simple out-patient nutritional programmes in a clinical setting is difficult. ER -