骨关节结核患者与肺结核患者营养状况的比较  

A comparative study on the nutritional status of patients with bone tuberculosis and pulmonary tuberculosis

作　　者：周雪艳[1] 马皎洁[2] 王倩[1] 陈向军[1] 张亚超[1] 张磊[1] 雷国华[1] 

机构地区：[1]首都医科大学附属北京胸科医院骨科,101149 [2]首都医科大学附属北京胸科医院临床营养科,101149

出　　处：《中国防痨杂志》2017年第4期382-385,共4页Chinese Journal of Antituberculosis

摘　　要：目的了解骨关节结核患者与肺结核患者营养状况的差异。方法收集2016年7—10月首都医科大学附属北京胸科医院骨关节结核患者（128例）与肺结核患者（156例）的基本信息。采用《营养风险筛查2002》（Nutritional Risk Screening2002，NRS2002）评估表对患者进行营养风险进行筛查和评分（总分最高为7分，≥3分为存在营养风险）。结果骨关节结核组的体质量、体质量指数、血红蛋白、淋巴细胞比率、血清白蛋白水平[分别为（62．34±11．48）kg、22．41±3．84、（128．23±18．64）g／L、（24．11±8．64）％、（38．83±4．24）g／L]均高于肺结核组[分别为（58．07±12．28）kg、20．26±4．63、（123．29±20．44）g／L、（21．23±9．90）％、（35．35±6．10）g／L]，差异均有统计学意义（t值分别为2．74、3．82、2．11、2．58、5．43，P值均〈0．05）。骨关节结核组发生营养风险者占36．7％（47／128），低于肺结核组的64．7％（101／156），差异有统计学意义（x^2=22．13，P〈0．01）。18-40岁和41～60岁患者，骨关节结核组发生营养风险者的构成比[分别为25．6％（11／43）和30．9％（17／55）3均低于肺结核组[分别为59．3％（35／59）和58．8％（30／51）]，差异均有统计学意义（矿值分别为10．86、8.78，P值均〈0．01]。结论骨关节结核患者的营养相关指标优于肺结核患者，且营养风险发生情况也好于肺结核患者。Objective To explore the difference of nutrition status between bone tuberculosis and pulmonary tuberculosis. Methods Data of 128 bone tuberculosis patients and 156 pulmonary tuberculosis patients from Beijing Chest Hospital between July 2016 and October 2016 were collecteds. Nutritional Risk Screening 2002 （NRS2002） was adopted for screening and scoring nutritional risk of patients （total score was up to 7 points, nutri- tional risk was available if the score was equal to or higher than 3）. Results Weight, body mass index （BMI）, hemoglobin, lymphocyte ratio and albumin level of bone tuberculosis patients were significantly higher than those of pulmonary tuberculosis patients （（62. 34±11.48） kg vs. （58.07±12.28） kg, t=2. 74; 22.41±3.84 vs. 20. 26±4.63, t=3.82; （128.23±18.64） g/L vs. （123.29±20.44） g/L, t=2.11; （24.11±8.64）% vs. （21.23±9.90） %, t=2.58; （38. 83±4. 24） g/L vs. （35.35±6.10）） g/L, t=5.43; all P〈0. 05）. The nutritional risk inci- dence of bone tuberculosis patients was significantly lower than that of pulmonary tuberculosis patients （36.7% （47/128） vs. 64. 7% （101/156）,）x^2 =22.13, P〈~.01）. When patients aged in 18-40 years and 41-60 years, the nutritional risk incidences of bone tuberculosis patients andwere also significantly lower than that of pulmonary tuberculosis patients （25.6% （11/43） vs. 59.3% （35/59）, x^2 =10.86; 30.9% （17/55） vs. 58.8% （30/51）, x^2=8. 78; both P〈0.01）. Conclusion The incidence of nutritional risk in patients with bone tuberculosis is lower than that of patients with pulmonary tuberculosis, while the nutrition related indicators are better than those of pulmonary tuberculosis patients.

关 键 词：结核 肺 结核 骨关节 营养状况 评价研究 

分 类 号：R521[医药卫生—内科学]