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分析结核病住院患者的营养风险和血液生物标志物:来自2020年医院研究的见解
Zhuo Li1, Pei Wang2,3, Jiaojie Ma1
1Department of Nutrition, Beijing Chest Hospital, Capital Medical University, Beijing, China.
概括
在结核病 (TB) 患者中观察到营养风险的高患病率,特别是在老年人和具有阳性唾液涂抹的人群中. 早期营养干预对于结核病相关的营养不良至关重要.
科学领域:
- 营养科学 营养科学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 结核病 (TB) 和营养有着复杂的双向关系.
- 对结核病患者的营养支持指南不足,造成了护理差距.
- 这项研究涉及结核病相关的营养不良,并为早期营养干预提供信息.
研究的目的:
- 评估诊断出结核病 (TB) 的患者的营养状况.
- 确定导致结核病患者营养风险的因素.
- 为结核病相关营养不良的早期营养干预提供见解.
主要方法:
- 2020年,北京胸部医院对1735名新入院的结核病患者 (≥18岁) 的回顾性分析.
- 使用电子医疗记录来处理患者数据,包括常规血液检查和生物化学分析.
- 使用营养风险查2002 (NRS 2002) 工具和营养风险评估问卷.
主要成果:
- 在结核病患者中发现营养风险的高发病率 (74.58%).
- 营养风险增加与65岁以上的年龄,唾液涂抹阳性和并发疾病有关.
- 营养风险与体重,血红蛋白和血清白蛋白有负相关性;与白细胞计数和C反应蛋白有正相关性.
结论:
- 结核病患者中营养风险的患病率显著高.
- 高龄,唾液涂抹阳性和并发症是结核病营养不良的关键危险因素.
- 强调迫切需要改善结核病患者护理中的营养支持策略.
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