肺结核患者营养风险状况的探讨.docVIP

精品论文 参考文献 肺结核患者营养风险状况的探讨 （攀枝花市第四人民医院 四川 攀枝花 617061） 　　【摘要】 目的：探讨肺结核患者的营养风险状况。方法：采用营养风险筛查量表（NRS 2002）测量154例肺结核患者的营养风险状况，同时收集一般资料、临床症状、患病时间、合并症、社会支持、抑郁水平等信息进行统计分析。结果：本组患者营养风险得分为3.04plusmn;1.50，NRS 2002评分ge;3分的为72.73％，说明存在营养风险，需给与营养支持。患者年龄、临床症状、患病时间、合并症等是影响患者营养风险得分的重要因素，分值越高，营养风险越大。结论：应当关注肺结核患者的营养风险状况，制订相应营养支持计划，降低患者营养风险的发生。 　　【关键词】 肺结核；营养；风险；状况 　　【中图分类号】R521 【文献标识码】A 【文章编号】2095-1752（2016）25-0393-02 　　Study on nutritional risk in patients with pulmonary tuberculosis Lu Jing wu chuan fen 　　【Abstract】 Objective Nutritional risk status of tuberculosis patients is discussed in the paper. Methods The nutritional risk screening scale (NRS2002) is used to evaluate nutritional risk status of 154 tuberculosis patients, and general information of these patients is collected at the same time. The information (clinical symptoms, time of illness, complication, social support and the level of depression, etc.) is counted and analyzed. Results The score of nutritional risk is floating around 3.04, which may be higher or lower about 1.50. The number of patients score is 72.73%, which is higher than 3. It shows that nutritional risk is existed for patients, and nutritional support needs to be given. Age, clinical symptoms, time of illness, complications and some other status are important factors, which will affect nutritional risk score. The nutritional risk is increased with the higher score. Conclusion Nutritional risk status should be paid attention to tuberculosis patients, and plans of corresponding nutritional supporting should be made. So the nutritional risk for tuberculosis patients will be reduced. 　　【Key words】Tuberculosis; Nutrition; Risk; Status 　　肺结核是由结核分枝杆菌感染引起的慢性消耗性传染病，严重威胁人类健康和生命。据世界卫生组织（WHO）估计，如果不能有效控制结核病，2000年至2020年将有10亿人感染结核分枝杆菌，2亿人发展为结核病，3500万人死于该病[1]，肺结核仍然是我国最常见的传染性疾病。随着糖尿病和自身免疫性疾病的增多，致使肺结核的发病率呈逐年上升趋势[2]。 　　营养风险是指营养因素对病人结局产生负面影响的风险。研究表明营养风险与临床结局密切相关[3]。肺结核是一种慢性消耗性传染病，患者肠胃吸收不好，合成代谢增加，造成肺结核患者均存在不同程度的营养风险。国外多项研究表明[4]，有营