慢性阻塞性肺疾病合并抑郁患者的营养状况风险评估

目的对慢性阻塞性肺疾病（COPD）合并抑郁患者中营养不良的风险进行筛查评估。方法随机选取2009年10月-2011年10月住院期间COPD患者92例,行抑郁自评量表（SDS）及汉密尔顿抑郁量表（HAD）测评,营养风险筛查（NRS2002）评分进行营养风险筛查。结果患者营养状况对不同抑郁状态的COPD患者影响有差别,无营养不良的COPD患者与合并无营养不良的COPD患者相比,差异有统计学意义（P〈0.05）。结论存在营养风险的COPD患者更易罹患抑郁,要对患者的营养不良及抑郁状态的改善进行长期治疗。

Risk assessment of nutritional status in patients with chronic obstructive pulmonars disease complicated with depres-sion

Objective To assess the relationship between depression and malnutrition in patients with chronic obstructive pulmonary disease （ COPD ）. Methods From Oct 2009 to Oct 2011,92 cases were randomly selected in hospitalized patients with chronic obstructive pulmonary disease. The formal scale SDS, HAD and NRS2002 was applied to 92 patients, moreover record grade of nutritional risk screening. Results The influence of different nutritional status were different in patients with COPD. The difference was statistically significant between COPD patients without malnutrition and COPD patients with malnutrition, so severe depression was correlate with malnutrition （ P 〈 0. 05 ）. Conclusion The patients with COPD and malnutrition are more prone to depression. The improvement on depression and malnutrition demands a long-term treat.