肺结核合并糖尿病患者的营养状况分析

Antithetical analysis on nutrition status in patients with pulmonary tuberculosis and diabetes

目的通过对肺结核合并糖尿病患者的营养状况调查和对照分析,提出合理化营养支持建议.方法设肺结核合并糖尿病、肺结核和正常人群3个组,选择体质指数(BMI)、血红蛋白(Hb)、总淋巴细胞计数(TLC)、血清白蛋白(ALB)等4项营养指标进行比较分析.结果肺结核合并糖尿病患者的营养不良发生率为45%～78.3%,肺结核患者营养不良发生率为38.3%～75%,正常人群组营养不良发生率为1.8%.肺结核合并糖尿病组、肺结核组与正常人群组在四种营养指标均有显著性差异;肺结核合并糖尿病组与肺结核组Hb、ALB有显著性差异.结论肺结核合并糖尿病患者和肺结核患者营养不良的发生率较高,对此提出了营养支持的原则和建议.

Objective To investigate the nutrition status in the patients with pulmonary tuberculosis （PTB） and diabetes mellitus （DM）, and to explore the nutrition improvement advice for these patients. Methods patients were divided into 3 groups： PTB and DM group, PTB group, and normal public group. Four parameters were chosen to analyze the nutrition status, including body mass index （BMI）, hemoglobin （Hb）, total lymphocyte count （TLC）, and serum albumin. Results The incidence of mahnutrition according of PTB and DM group was 45%-78.3%, PTB group was 38.3% - 75%, normal public group was 1.8%. Significant difference was found in these four parameters in the PTB and DM group and normal public group, similarly PTB group and nornal public group have significant difference. The incidence of malnutrition according to HB, ALB of the PTB and DM group was higher than that in the PTB group. Conclusions The incidence of malnutrition is higher in the patients with PTB and DM, and also in the patients of PI＇B, and put forward the nutrition improvement advice for these patients.