肺结核患者营养状况调查分析及院外营养支持指导的效果评价

Investigation and evaluation on nutrition status of pulmonary tuberculosis and nutritional support guidance effects out of hospital

目的探讨初发肺结核患者的营养状况,评价院外营养支持指导对肺结核患者营养恢复的效果。方法通过对92例初发肺结核患者首次外周血总淋巴细胞数(TLC)、血清白蛋白(ALB)及患者体质量指数(BMI)的检测结果与抗结核治疗并院外营养支持治疗指导3月后复查结果进行统计分析。结果初发肺结核患者营养状况差,占本组88.04%,仅约8.7%的患者未出现较为严重的营养不良,院外营养支持与抗结核治疗后,所有患者营养状况均有明显好转,差异有统计学意义(P<0.01)。结论肺结核患者营养状况普遍较差,通过正规有效的抗痨治疗及营养支持指导,多数患者可在3月内恢复良好的营养状况,院外营养支持指导对肺结核患者的迅速康复有着极为重要的意义。

Objective To discusses nutritive condition of tuberculosis patients and evaluation the recuperative effect of nutritional support guidance out of hospital.Method Detecting the first time peripheral blood total lymphocyte count（TLC）,seralbumin and body mass index（BMI） of 98 tuberculosis patients who were first diagnosed before and after tuberculosis treatment and nutritional support guidance out of hospital after 3 months,and the results carried out statistical analysis.Results The nutrition condition of primary tuberculosis patients was poor,it accounted for 88.04%,only 8.7% patients did not appear serious malnutrition.After tuberculosis treatment and nutritional support guidance out of hospital,all the patients nutritive condition obviously took a favorable turn,and the results showed significant deviation（P0.01）.Conclusions The nutritional status of tuberculosis patients was widespread poor,but after 3 month regular and effective tuberculosis treatment and nutritional support guidance,most patients can be recovered to satisfactory nutritional status,so nutritional support guidance out of hospital had considerable significance to help patients rehabilitation.