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中国防痨杂志 ›› 2020, Vol. 42 ›› Issue (12): 1272-1275.doi: 10.3969/j.issn.1000-6621.2020.12.004

• 专家论坛 • 上一篇    下一篇

必须重视结核病患者的营养治疗

张胜康*, 童照威, 唐寒梅, 颜觅, 袁聃, 唐细良(), 沈生荣   

  1. 410013 长沙,湖南省胸科医院营养科(张胜康、唐寒梅、颜觅、袁聃、唐细良);浙江省湖州市中心医院感染科(童照威);浙江大学公共卫生学院营养学系(沈生荣)
  • 收稿日期:2020-06-05 出版日期:2020-12-10 发布日期:2020-12-24
  • 通信作者: 唐细良 E-mail:289751301@qq.com

Must value nutritional treatment of tuberculosis patients

ZHANG Sheng-kang*, TONG Zhao-wei, TANG Han-mei, YAN Mi, YUAN Dan, TANG Xi-liang(), SHEN Sheng-rong   

  1. *Department of Nutrition,Hunan Chest Hospital, Changsha 410013,China
  • Received:2020-06-05 Online:2020-12-10 Published:2020-12-24
  • Contact: TANG Xi-liang E-mail:289751301@qq.com

摘要:

营养不良是影响结核病治疗效果及预后的重要因素。目前,随着糖尿病、HIV感染等患者并发结核病及耐药结核病逐渐增多,使得营养问题受到越来越多学者关注。多项临床研究证据表明,在结核病患者治疗期间应用某些营养物质或免疫增强剂能够提高结核病患者的免疫力,促进结核病灶的钙化和修复,减少并发肺部其他感染性疾病的发生率,降低结核病的死亡率。临床营养的地位也已从营养支持逐渐向营养治疗转变。

关键词: 结核, 营养不良, 营养疗法, 结果与过程评价(卫生保健)

Abstract:

Malnutrition is an important factor affecting the treatment effectiveness and prognosis of tuberculosis. At present, with the increase of diabetes, HIV infection patients getting tuberculosis and drug-resistant tuberculosis, nutrition issue have attracted more and more scholar’s attention. Evidence from multiple clinical studies shows that using certain nutrients or immune enhancers during the treatment of tuberculosis can improve the immunity of patients, promote calcification and repair of tuberculosis lesions, and reduce the incidence complications such as lung infections, lower death rate. Clinical nutrition has gradually changed from nutritional support to nutritional therapy.

Key words: Tuberculosis, Malnutrition, Nutrition therapy, Outcome and process assessment (health care)