老年肺结核患者营养状况评价研究进展

doi:10.3969/j.issn.1000-6621.2018.08.021

摘要/Abstract

摘要：

结核病是一种慢性消耗性传染性疾病,与机体营养状况之间存在着双向的关系,相互影响。老年肺结核患者是一个特殊的群体,由于年龄大、抵抗力弱,常多病共存,其营养状况不理想,受多种因素影响。正确评价老年肺结核患者的营养状况是改善其营养摄入的基础。目前,全球针对老年肺结核患者营养状况评价指标的相关研究较多,且各不相同,但缺乏统一评价指标。笔者将国内外老年肺结核患者营养状况评价的相关研究进行综述,为临床进行老年肺结核患者的营养状况评价提供帮助和支持。

关键词: 老年, 结核, 肺, 营养状况, 营养评价, 健康状况指标

Abstract:

Tuberculosis is a chronic consumptive infectious disease that has a two-way relationship with the body’s nutritional status and affects each other. Elder patients with pulmonary tuberculosis are a special group. Due to their age and weak resistance, they often coexist with multiple diseases, and their nutritional status is not ideal, which is affected by many factors. Correct assessment of the nutritional status of elder tuberculosis patients is the basis for improving their nutritional intake. At present, there are many researches on the evaluation indicators of nutritional status of elderly pulmonary tuberculosis patients, but there is no unified evaluation index. This review contains the related researches on the nutritional status of elder pulmonary tuberculosis patients both domestic and international to provide help and support for the clinical evaluation of nutritional status of elder pulmonary tuberculosis patients.

Key words: The elderly, Tuberculosis, pulmonary, Nutritional status, Nutrition assessment, Health status indicators

陈丹萍,李敏. 老年肺结核患者营养状况评价研究进展[J]. 中国防痨杂志, 2018, 40(8): 894-897. doi: 10.3969/j.issn.1000-6621.2018.08.021

Dan-ping CHEN,Min LI. Progress in nutritional status evaluation of elderly pulmonary tuberculosis patients[J]. Chinese Journal of Antituberculosis, 2018, 40(8): 894-897. doi: 10.3969/j.issn.1000-6621.2018.08.021

参考文献 28

[1]	World Health Organization . Global tuberculosis report 2017. Geneva: World Health Organization, 2017.
[2]	Kim DK, Kim HJ, Kwon SY , et al. Nutirtional deficit as anegative prognostic factor in patients with miliary tuberculosis. Eur Respir J, 2008,32(4):1031-1036. doi: 10.1183/09031936.00174907 URL pmid: 18508814
[3]	全国第五次结核病流行病学抽样调查技术指导组,全国第五次结核病流行病学抽样调查办公室. 2010年全国第五次结核病流行病学抽样调查报告. 中国防痨杂志, 2012,34(8):485-508.
[4]	王玉萍, 倪小元 . 老年肺结核患者营养风险与营养不足分析. 浙江预防医学, 2014,26(1):59-61.
[5]	严凤琴, 朱虹, 段晓宇 , 等. 营养评定工具NRS2002、MNA和实验室检查在老年住院病人营养调查中的应用. 肠外与肠内营养, 2016,23(6):369-372,376. doi: 10.16151/j.1007-810x.2016.06.014 URL
[6]	Raslan M, Gonzalez MC, Torrinhas RS , et al. Complementarity of Subjective Global Assessment (SGA) and Nutritional Risk Screening 2002 (NRS2002) for predicting poor clinical outcomes in hospitalized patients. Clin Nutr, 2011,30(1):49-53. doi: 10.1016/j.clnu.2010.07.002 URL
[7]	周梦雯, 谭守勇, 李春燕 , 等. 四种营养风险筛查工具对肺结核患者的适用性评价. 中国防痨杂志, 2017,39(6):626-629. doi: 10.3969/j.issn.1000-6621.2017.06.016 URL
[8]	Felder S, Lechtenboehmer C, Bally M , et al. Association of nutritional risk and adverse medical outcomes across different medical in patient populations. Nutrition, 2015,31(11/12):1385-1393. doi: 10.1016/j.nut.2015.06.007 URL
[9]	马皎洁, 贺红, 李宝月 , 等. 骨结核住院患者的营养风险筛查分析. 中国防痨杂志, 2014,36(8):691-695. doi: 10.3969/j.issn.1000-6621.2014.08.018 URL
[10]	夏照华, 谢雯霓, 邓国防 , 等. 深圳结核病住院患者营养风险筛查及其对临床结局和生活质量的评估. 实用医学杂志, 2015,31(6):1003-1006. doi: 10.3969/j.issn.1006-5725.2015.06.045 URL
[11]	陆川, 陈卫星, 孟娜燕 . 对213例结核病患者进行营养风险筛查结果的分析. 新疆医学, 2013,43(4):86-87. doi: 10.3969/j.issn.1001-5183.2013.04.038 URL
[12]	高宁, 郭元霞, 张小云 , 等. 肺结核患者营养风险状况及其影响因素的研究. 中华护理杂志, 2014,49(5):552-555.
[13]	Miyata S, Tanaka M, Ihaku D . Full mini nutritional assessment and prognosis in elderly patients with pulmonary tuberculosis. J Am Coll Nutr, 2013,32(5):307-311. doi: 10.1080/07315724.2013.826114 URL pmid: 24219373
[14]	卢春丽, 谭守勇, 江涛 , 等. 应用NRS2002方法对肺结核合并肺部感染患者的营养风险筛查和分析. 临床肺科杂志, 2014,19(7):1273-1275. doi: 10.3969/j.issn.1009-6663.2014.07.038 URL
[15]	中国肥胖问题工作组数据汇总分析协作组. 我国成人体重指数和腰围对相关疾病危险因素异常的预测价值:适宜体重指数和腰围切点的研究. 中华流行病学杂志, 2002,23(1):5-10.
[16]	毛春英, 丰丽莉, 金辉 , 等. 肺结核住院患者临床营养风险筛查及营养支持状况分析. 中国现代医生, 2010,48(34):172-173. doi: 10.3969/j.issn.1673-9701.2010.34.101 URL
[17]	Putri FA, Burhan E, Nawas A , et al. Body mass index predictive of sputum culture conversion among MDR-TB patients in Indonesia. Int J Tuberc Lung Dis, 2014,18(5):564-570. doi: 10.5588/ijtld.13.0602 URL pmid: 24903794
[18]	Takeuchi M, Kurata M, Hayashi S . Nutritional assessment upon admission for predicting delay in negative bacillary conversion among patients treated for pulmonary tuberculosis. Kekkaku, 2013,88(10):697-702.
[19]	李进升, 陈宇, 王福生 . 65例老年肺结核合并糖尿病患者的营养状况评价. 中国防痨杂志, 2012,34(6):389-392.
[20]	侯婧, 张妍蓓 . 536例老年肺结核患者血清白蛋白、血红蛋白等相关指标分析. 实用医学杂志, 2016,32(1):134-136.
[21]	侯婧, 刘刚, 韩莙 , 等. 老年肺结核患者营养指标与疾病相关性分析. 中国临床研究, 2017,30(4):459-462.
[22]	崔红元, 李照, 朱继业 . 外科肝癌患者营养状况与肝功能分级和临床结局的相关性分析. 中华临床营养杂志, 2014,22(2):82-86. doi: 10.3760/cma.j.issn.1674-635X.2014.02.003 URL
[23]	苏丽芳, 李进升, 陈恩泰 . 老年肺结核合并糖尿病患者的营养状况评价分析. 中国临床护理, 2011,3(6):461-463. doi: 10.3969/j.issn.1674-3768.2011.06.001 URL
[24]	吕菁, 隋向前, 徐颖 , 等. 585例成年住院结核病人营养状态调查. 中国防痨杂志, 2008,30(4):525-528. doi: 10.3969/j.issn.1000-6621.2008.04.017 URL
[25]	孙长颢 .营养与食品卫生学.8版.北京: 人民卫生出版社, 2017: 9.
[26]	王瑛琨, 韩秀霞, 汪求真 , 等. 结核病患者膳食多样化及营养素摄入情况调查分析. 中国食物与营养, 2011,17(1):73-77.
[27]	吕和, 李雨泽, 闫雅更 , 等. 2型糖尿病患者与其并发肺结核患者的膳食营养状况分析. 中国防痨杂志, 2017,39(12):1282-1285.
[28]	盛莉, 王丽, 李欣 , 等. 133例肺结核患者膳食结构及体温对营养状况的影响. 临床肺科杂志, 2013,18(10):1842-1844.