Of chronic obstructive pulmonary disease patients with the care of malnutrition.docVIP

 PAGE \* MERGEFORMAT 7 Of chronic obstructive pulmonary disease patients with the care of malnutrition Chronic obstructive pulmonary disease (COPD) more than the number of patients because of its high mortality, socio-economic burden, has become an important public health problem [1]. COPD patients is often associated with malnutrition, 24% -71% incidence of It is an important prognostic indicator of COPD is an independent risk factor of poor prognosis. 1, the energy balance of the body The body’s energy source is mainly the three major nutrients, namely, sugar, fat and protein. In general, sugar is the main the material for it to provide the human body needs about 70% of energy. The rest of the energy provided by fat, which is material stored inside the main form of energy only in sugar and low fat for energy, protein will be the way to gluconeogenesis to provide energy for life. the daily needs of adult human basal metabolic heat = heat + the basic needs required for physical activity calories + calories needed to digest food. in which the total body basal metabolic energy expenditure accounted for 60% -70%, physical activity, total energy consumption of the body accounted for 15% of -30%. 2 Energy consumption and malnutrition in COPD patients COPD patients because of the long-term airway obstruction, increased airway resistance, alveolar elastic recoil force reduction, lung hyperinflation reduces the efficiency of diaphragmatic contraction, oxygen consumption of respiratory muscle load and increase the basal metabolic rate increased in patients with COPD malnutrition is a major mechanism. In addition, COPD patients decreased activities of oxygen uptake, muscle tissue into the earlier state of anaerobic metabolism, resulting in decreased muscle work efficiency, to complete a particular activity need to consume more energy, leading to COPD patients at increase in total energy consumption. COPD patients with asthma drugs commonly used al