关键词: 肺疾病,慢性阻塞性, 结核,肺, 非活动性, 营养状况, 危险因素

Abstract:

Objective To analyze the status and nutritional risk of nutrition of patients with inactive tuberculosis patients complicated with chronic obstructive pulmonary disease (COPD). Methods A fixed-point continuous sampling method was adopted to sample 356 inactive tuberculosis patients with COPD (observation group) and 384 COPD patients (control group) who were hospitalized in the Department of Respiratory Medicine of the First Affiliated Hospital of Harbin Medical University from January 2017 to May 2018. The basic information (age, height, weight, etc.) and biochemical indicators (hemoglobin, serum total protein, serum albumin, serum prealbumin, etc.) of patients in the two groups were collected. Results The incidence of nutritional risk in the observation group was 36.8% (131/356), which was significantly higher than that in the control group (32.6% (125/384), χ ²=18.350, P=0.000). The length of hospital stay in the observation group was (12.6±4.4) days, which was significantly longer than that of the control group ((11.5±5.1) days, t=3.097, P=0.002). The levels of hemoglobin, total protein, albumin and prealbumin in the observation group were significantly lower than the control group, which were (114.3±10.4) g/L vs. (117.7±9.4) g/L (t=4.602, P=0.000), (55.0±7.9) g/L vs. (58.9±8.0) g/L (t=6.631, P=0.000), (29.7±4.6) g/L vs. (31.0±4.0) g/L (t=4.075, P=0.000), and (112.6±35.0) mg/L vs. (118.0±35.7) mg/L (t=2.083, P=0.038), respectively. Conclusion Inactive tuberculosis increases the incidence of nutritional risk in COPD patients and prolongs the hospital stay, it has an adverse effect on the nutritional indicators of COPD patients.

Key words: Pulmonary disease,chronic obstructive, Tuberculosis,pulmonary, Inactive, Nutritional status, Risk factors