Patients with chronic obstructive pulmonary disease application of nutritional and metabolic support.doc

 PAGE \* MERGEFORMAT 14 Patients with chronic obstructive pulmonary disease application of nutritional and metabolic support Keywords: chronic obstructive pulmonary disease, nutrition, metabolic support Chronic obstructive pulmonary disease (COPD) is often accompanied by the development of malnutrition, the rate was 24% ~ 71% 1,2, which, emphysema, pulmonary heart disease is particularly prominent, were protein energy malnutrition state . The degree of malnutrition and the degree of airflow obstruction, with acute respiratory failure and death, the tendency, which is regarded as an important prognostic indicator 3. Therefore, nutritional and metabolic support for the treatment of COPD therapy has become an important means of strengthening the nutrition and metabolic support in patients with the treatment of metabolic disorders can be corrected to reduce the incidence of infection, improve patient prognosis. 1 COPD nutritional and metabolic characteristics and changes in gastrointestinal function Malnutrition decreased the respiratory muscle reserve and easy fatigue, energy shortages and changes in the structure of muscle fiber contraction decreased respiratory muscle strength and endurance, respiratory muscle function damage, and induce or aggravate respiratory failure. Malnutrition affects ventilatory drive, respiratory center of the oxygen reduction reaction. Because protein malnutrition, the repair of alveolar and bronchial epithelial function is impaired, so that the site of intubation tube pressure ulcers and bleeding are more likely to increase the risk of complications. In addition to protein and energy supply, certain electrolytes and trace element deficiency can also cause respiratory weakness. Patients with COPD associated with respiratory failure, hypophosphatemia was obvious damage to diaphragm function 4, is the more common complications. Older patients with COPD, resulting in masticatory dysfunction such as decreased caloric