肺结核患者的营养支持治疗及疗效评价  

Evaluation of the efficacy of nutritional supplementation in patients with pulmonary tuberculosis.

作　　者：孙鹏[1] 李娥[2] 蔡妙龄[1] 邱杰文[1] 

机构地区：[1]汕头大学医学院第二附属医院 [2]汕头大学医学院第一附属医院,广东汕头515000

出　　处：《临床和实验医学杂志》2006年第5期495-496,共2页Journal of Clinical and Experimental Medicine

摘　　要：目的评价肺结核患者的营养状况,探讨营养支持在肺结核治疗中的作用。方法62例肺结核患者随机分为两组(营养支持治疗组和对照组),两组常规治疗相同,营养支持治疗组加用5%复方氨基酸500 m l及20%脂肪乳250m l,每日1次,静滴,15 d为一疗程。结果62例肺结核患者合并营养不良56例,发生率90.3%,28例初治结核患者合并营养不良85.7%(24/28),34例复治结核患者合并营养不良94.1%(32/34);营养支持组治疗后理想体重百分数、白蛋白、淋巴细胞总数明显上升(P<0.01)。结论肺结核患者合并营养不良比例高,营养支持治疗疗效显著,有助于改善临床症状,减少住院天数。Objective To evaluate the nutritional status of the patients with pulmonary tuberculosis and investigate the effect of nutritional support on antituberculotic treatment. Methods Sixty - two patients with pulmonary tuberculosis were randomly assigned to receive regular treatment （control group） or regular trcatment plus nutritional supplementation, consisted of IV infusion of 5% compound amino acid 500ml and 20% fat emulsion 250ml once daily, 15 days constituting a therapeutic course. Results Of 62 pulmonary tuberculosis patients, 56 patients （90.3%） were complicated by malnutrition. The malnutrition incidence was 85.7% in naive patients （24/28）, in antituberculotic drug reexposure patients it increased to 94.1% （32/34）. In nutritional supplementation group, the proportion of patients with ideal body weight, serum albumin level and total lymphocyte count incrcased significantly （ P 〈 0.01 ）. Conclusion A high proportion of pulmonary tuberculosis patients are complicated by malnutrition. Nutritional Supplementation has a significant benefitial effect on patients＇ health, with clinical symptoms improved and hospital stay decreased.

关 键 词：肺结核 营养不良 营养支持治疗 

分 类 号：R521[医药卫生—内科学]