营养支持结核病的临床疗效:准实验性研究
Yi Li1, Hong Zhou1, Chuan Zhao1
1Department of Infectious Diseases, Suining Central Hospital, Suining, China.
BMJ supportive & palliative care
|August 29, 2024
概括
标准化营养支持显著改善了营养风险的住院结核病患者的临床疗效. 这种干预措施减少了并发症和住院时间,改善了患者的治疗结果.
科学领域:
- 临床医学 临床医学
- 营养科学 营养科学
- 传染性疾病 传染性疾病
背景情况:
- 住院结核病患者经常经历营养风险.
- 营养状况显著影响结核病管理中的临床结果.
研究的目的:
- 评估营养支持干预措施在改善营养风险确诊的住院结核病患者的临床结果方面的有效性.
- 评估标准化营养支持对并发症率,住院时间和整体临床疗效的影响.
主要方法:
- 一项涉及266名实验组患者接受各种营养支持方法和190名控制组患者的研究.
- 收集的数据包括基线特征,营养风险,血清白蛋白 (ALB),体重指数,并发症和住院时间.
- 营养干预包括调整饮食,肠道营养,全方位肠道营养和组合方法.
主要成果:
- 两组之间基线特征没有显著差异.
- 与对照组相比,实验组的并发症率 (57.89%与70.00%) 和二次感染率 (51.5%与56.31%) 显著降低.
- 接受营养支持的患者住院时间较短 (16.5 vs 19.55天) 并且出院后血清ALB水平有所改善.
结论:
- 标准化营养支持有效改善营养风险的住院结核病患者的营养状况.
- 这种方法可以减少并发症,并改善短期预后.
- 营养支持显著提高了治疗住院结核病患者的整体临床疗效.
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