Email Alert | RSS    帮助

中国防痨杂志 ›› 2008, Vol. 30 ›› Issue (4): 335-337.

• 论著 • 上一篇    下一篇

398例肺结核病患者的营养调查及营养支持治疗

许颖玲   

  1. 新乡医学院第一附属医院 卫辉
  • 出版日期:2008-04-10 发布日期:2011-11-03

Investigation on the nutritional status and nutritional therapy in 398 patients with pulmonary tuberculosis

Xu Yingling   

  1. The First Affiliated Hospital,Xinxiang Medical University,Weihui 453100,China
  • Online:2008-04-10 Published:2011-11-03

摘要: 目的评价肺结核患者的营养状况,探讨营养支持在肺结核治疗中的作用。方法398例肺结核患者随机分为2组(营养支持治疗组和一般治疗组),2组常规治疗相同,一般治疗组自由饮食,营养支持治疗组加用高蛋白肠内营养制剂。结果20 d后营养支持治疗组体质指数、肱三头肌、皮褶厚度、白蛋白、淋巴细胞总数明显上升,高于一般治疗组,痰菌培养转阴率明显高于一般治疗组,具有统计学显著性差异(P<0.05)。结论肺结核患者合膳食营养摄入不足,合并营养不良比例高.营养支持治疗有助于改善临床症状,减少住院时间,效果显著。

关键词: 结核,肺, 营养不良, 营养支持治疗

Abstract: Objective To evaluate the nutritional status of the patients with pulmonary tuberculosis and discuss the effect of nutritional support in the treatment of tuberculosis. Methods A total of 398 subjects with pulmonary tuberculosis were randomly allocated into two groups(the nutritional support group and the general treatment group).Conventional therapy was same in two groups,and the general treatment group ate freely while the nutritional support group was provided with additional high-protein enteral nutrition formulations. Results Body mass index,triceps,skinfold thickness,albumin and total lymphocyte count increased significantly in the nutritional support group and were higher than those of the normal treatment group,and the conversion rate of sputum culture in the nutritional support group was significantly higher than that of the normal treatment group(P<0.05). Conclusion The intake of dietary nutrition was inadequate and the high proportion of the malnutrition was high in patients with pulmonary tuberculosis.The nutritional support therapy has great effect in alleviating the clinical symptoms and reducing hospitalization duration..

Key words: pulmonary tuberculosis, malnutrition, nutritional support therapy