43例耐药肺结核病患者营养状况回顾性调查  

Retrospective investigation on nutritional status of 43 cases of drug-resistant tuberculosis

作　　者：郭戴青 姬新芬 姚春丽[1] 张亚孔 何军霞[1] 马晓燕[1] GUO Dai-qing;JI Xin-fen;YAO Chun-li;ZHANG Ya-kong;HE Jun-xia;MAXiao-yan(Pingliang Municipal Center for Disease Control and Prevention,Pingliang,Gansu 744000,China)

机构地区：[1]甘肃省平凉市疾病预防控制中心,甘肃平凉744000

出　　处：《疾病预防控制通报》2021年第1期41-43,共3页Bulletin of Disease Control & Prevention(China)

摘　　要：目的分析甘肃省平凉市43例耐药肺结核病患者营养状况,为进一步提高耐药肺结核病患者治愈率和生活质量提供科学依据。方法由平凉市疾病预防控制中心组织经过培训的专业人员,对2015年以来全市确诊的43例耐药肺结核病患者营养状况开展现场问卷调查和分析;以MNU-ST营养状态评估量表调查营养状态。结果2015年1月—2019年1月平凉市完成疗程和在治的43例患者中,发生营养不良(0~7分)13例(30.23%)、存在营养不良风险(8~11分)16例(37.21%);单耐药患者营养不良率较多耐药、耐多药和广泛耐药低;影响因素中患者治疗1~6个月体重下降29例(67.44%)、活动能力轻度受损5例(11.63%)、出现应激反应18例(41.86%)、精神抑郁11例(25.58%)、32例BMI小于21(74.42%)。结论耐药肺结核病患者在治疗前1个月及疗程1~6个月即存在营养不良或营养不良风险,多耐药、耐多药和广泛耐药患者更易发生营养不良;部分患者出现了应激反应和精神心理受损。Objective To analyze the nutritional status of 43 cases of drug-resistant tuberculosis in Pingliang city,Gansu province,and provide scientific basis for further improving the cure rate and quality of life of the patients with drug-resistant tuberculosis.Methods The nutritional status of 43 cases of drug-resistant tuberculosis since 2015 was investigated and analyzed with filed questionnaire survey by the trained professionals who were organized by Pingliang Municipal Center for Disease Control and Prevention.The nutritional status was evaluated with MNU-ST nutritional status assessment scale.Results Out of the 43 cases completed the course of treatment and in treatment from January 2015 to January 2019 in Pingliang city,there were 13 cases(30.23%)of malnutrition(scored 0-7),and 16 cases(37.21%)of malnutrition risk(scored8-11).The malnutrition rate was lower in the cases of mono-drug resistance than in the cases of poly-drug resistance,multidrug resistance and extensive drug resistance.After 1-6 months’treatment,there were 29 cases(67.44%)with loss of weight,5 cases(11.63%)with mild impairment of activity,18 cases(41.86%)with stress reaction,11 cases(25.58%)with mental and psychological impairment,and 32 cases(74.42%)with BMI<21 among the influence factors.Conclusions The malnutrition or the risk of malnutrition exist 1 month before treatment and 1-6 months after treatment in the patients with drug-resistant tuberculosis,and the malnutrition easily occurred in the patients with poly-drug resistance,multi-drug resistance and extensive drug resistance.Part of patients appears stress reaction,mental and psychological damage.

关 键 词：肺结核病 耐药/耐多药 营养评价 应激反应 精神心理 

分 类 号：R521[医药卫生—内科学]