4种主观营养评价法在慢性阻塞性肺疾病患者中的应用比较.docVIP

4种主观营养评价法在慢性阻塞性肺疾病患者中的应用比较 　　作者：陈燕, 宋玉玲, 李鸿霞 作者单位：(新疆克拉玛依市中心医院呼吸科, 科教科， 新疆克拉玛依834000) 　　【摘要】目的: 分析比较主观全面评价法(SGA)、改良主观全面评价法(MSGA)、微型营养评定法(MNA)、简易微型营养评定法(MNASF)在慢性阻塞性肺疾病(COPD)患者营养评价中的作用。 方法: 以身体组成评价法(BCA)作为标准诊断方法，分别采用SGA、MSGA、MNA、MNASF法对95例稳定期COPD患者进行营养状况评价，进行分析比较。 结果: 4种主观营养评价方法与BCA法有很好的一致性(Kappa值在0.466～0.809，P0.000 5)，诊断符合率的差异无统计学意义。MNA法的灵敏度为100%，诊断符合率为92.63%，正确诊断指数为0.89，均高于其它评价方法。 结论: 4种主观营养评价方法均适用于COPD患者营养状况的评价，其中MNA法可作为COPD患者营养不良的初筛方法。 　　【关键词】 慢性阻塞性; 肺疾病; 营养评价 　　Comparison of four subjective methods of nutritional assessment in patients with chronic obstructive pulmonary disease 　　CHEN Yan, SONG Yuling, LI Hongxia 　　(Department of Respiratory Medcine, The Central Hospital, Karamy, Xinjiang 834000, China) 　　Abstract: Objective: To evaluate the value of four subjective methods of nutritional assessment: subjective global assessment of nutrition (SGA), modified quantitative subjective global assessment of nutrition (MSGA), mininutritional assessment (MNA), shortform mininutritional assessment (MNASF) in patients with chronic obstructive pulmonary disease (COPD). Methods: Ninetyfive patients with COPD were selected in this study. Four subjective methods of nutritional assessment: SGA, MSGA, MNA, MNASF were used respectively to assess the nutritional status in these patients. To evaluate the value of these methods with the standard of BCA results. Results： The results of four subjective methods of nutritional assessment correlated well with the result of BCA(Kappa 0.466～0.809，P0.000 5). The sensitivity of MNA was 100%, total agreement rate was 92.63%, diagnosis index was 0.89, all were the highest in four subjective methods of nutritional assessment. Conclusion: Four subjective methods of nutritional assessment are all suitable for patients with COPD. MNA can be regards as the best subjective nutritional assessment for these patients . 　　Key words: chronic obstructive; pulmonary disease; nutritional assessment 　　慢性阻塞性肺疾病(Chro