复治菌阳肺结核病人营养状况调查  

The nutritive condition survey in cases with sputu m positive relapsing pulm onary tuberculosis

作　　者：谭守勇 林兆源 

出　　处：《中国防痨杂志》1999年第3期137-139,共3页Chinese Journal of Antituberculosis

摘　　要：目的　了解复治菌阳肺结核病人的营养状况，并探讨营养辅助治疗对复治肺结核治疗的可行性。方法　对本院住院治疗的菌阳肺结核病人治疗前营养状况进行调查，并采用多元向量统计和两个均数向量的比较 Ｈｏｔｅｌｌｉｎｇ Ｔ 检验以及分别对各向量进行ｔ 检验。结果　１ ．复治菌阳肺结核病人治疗前营养状况较初治菌阳肺结核病人的营养状况差（ Ｐ＜ ００１） ，其中以体重下降最为明显（ Ｐ＜ ００１） ；２ ．治疗２ 个月后痰菌阴转病人的治疗前营养状况较未阴转病人好（ Ｐ＜ ００５） ，其中体内血清白蛋白及淋巴细胞数量较高（ Ｐ＜００１） 。结论　复治菌阳肺结核病人的营养状况较差，而在治疗过程中，治疗前血清白蛋白及血淋巴细胞数量水平的高低对疗效有较重要作用。因此，在治疗时辅以补充体内蛋白能量为主的营养支持治疗可望提高其临床治愈率。Objective In order to study the feasibility of the adminicular treatment with nutrition for the patientswith sputumn positive relapsing pulmonary tuberculosis ( R P T B) ,the nutritive condition of the patients with R P T B was re searched . Method Allthe patients who hospitalized from Dec .1994 to Dec.1997 with pulmonary tuberculosis ( P T B) ofspu tumn positive was researched before treating . The data was analysed by multivarian analysis of variance characteristic roots andvectors in the S A Sof statistical package . Results 1 . The nutritive condition in the patients with R P T Bbefore treating wasworse than thatin the patients with primary treatment P T B( P< 0 01) ;2 . The a mounts ofserum albu min andlymphocyteinthe patients with R P T Bafter 2 monthstreating were morethan thatin those whosesputu mn still positive after treating . Con clusion The untritive condition in the patients with R P T B was worse ;and the a mounts of serum albumin and lymphocyteplayed more important role in treating . So the ad minicular treatment with nutrition may be feasible .

关 键 词：肺结核 营养调查 复治 

分 类 号：R521.05[医药卫生—内科学] R459.3[医药卫生—临床医学]