肺结核合并肠结核患者营养风险筛查及治疗前后营养状况评价

Nutritional risk screening of pulmonary tuberculosis patients with intestinal tuberculosis and its evaluation of nutritional status before and after treatment

目的观察肺结核合并肠结核患者营养风险及治疗前后营养状况的变化。方法应用营养风险筛查2002 (NRS2002)对住院的154例结核病患者进行营养风险筛查并检验治疗前后血清总蛋白(Tp)、白蛋白(Alb) 2项营养指标以及血红蛋白(Hb)、红细胞比容(Hct)和血小板(Plt) 3项血液指标的变化。结果肺结核合并肠结核患者总评分在3分以上者所占的比例为77. 11%(64/83),显著高于单纯肺结核患者;肺结核合并患者Hb、Hct、Alb显著低于正常,而Plt、Tp水平未见明显异常;治疗后血清Plt显著性下降,而Hb、Hct、Alb显著性升高。结论肺结核合并肠结核患者多存在营养不良,营养风险发生率高;实验室检查与NRS2002评分相结合,有助于判断肺结核合并肠结核患者的营养状况并指导后续治疗。

Objective To observe the nutritional risk of pulmonary tuberculosis patients with intestinal tuberculosis and changes of nutritional status before and after treatment.Methods The nutritional Risk Screening 2002(NRS2002)was used to screen the nutrition risk of 154 inpatients with tuberculosis and to test the total serum protein(TP)and albumin(ALB),hemoglobin(HB),RBC Hematocrit(HCT)and platelets(PLT)before and after treatment.Results The proportion of patients with total score of more than 3 was 77.11%(64/83)in intestinal tuberculosis patients,which was significantly higher than that in pulmonary tuberculosis patients.HB,HCT and ALB were significantly lower than normal in pulmonary patients with intestinal tuberculosis,and the levels of PLT and TP were not obviously abnormal,and the serum PLT decreased significantly after intestinal tuberculosis patients,while HB,HCT and ALB significantly increased.Conclusion The prevalence of malnutrition and the incidence of nutritional risk are high in intestinal tuberculosis patients,and the combination of laboratory examination and NRS2002 score could help to judge the nutritional status of intestinal tuberculosis patients and guide the follow-up treatment.