中国实用医药
中國實用醫藥
중국실용의약
China Practical Medical
2015年
32期
17-18,19
,共3页
尹平辉%杨炼%阳辉%杨玉芳
尹平輝%楊煉%暘輝%楊玉芳
윤평휘%양련%양휘%양옥방
营养支持%营养风险筛查NRS2002%耐多药肺结核
營養支持%營養風險篩查NRS2002%耐多藥肺結覈
영양지지%영양풍험사사NRS2002%내다약폐결핵
Nutritional support%Nutrition risk screening NRS2002%Multi-drug resistant tuberculosis
目的:了解营养支持对营养风险筛查NRS2002评估≥3分耐多药肺结核患者的影响。方法56例耐多药肺结核患者进行营养风险筛查NRS2002评估≥3分患者,随机分为治疗组和对照组,各28例。两组均接受标准耐多药治疗,对照组标准饮食不足部分予静脉补充,治疗组在对照组基础上加肠内营养粉。观察1个月后的营养状况、疗效和不良反应。结果治疗组和对照组耐多药肺结核患者1个月末NRS2002营养风险初筛≥3分病例数分别为8例和17例,病灶总吸收率为42.9%和17.9%,总不良反应率为53.6%和89.3%,两组比较差异均有统计学意义(P<0.05)。结论营养支持可改善NRS2002评估≥3分的耐多药肺结核患者的营养状况,提高疗效,减少不良反应。
目的:瞭解營養支持對營養風險篩查NRS2002評估≥3分耐多藥肺結覈患者的影響。方法56例耐多藥肺結覈患者進行營養風險篩查NRS2002評估≥3分患者,隨機分為治療組和對照組,各28例。兩組均接受標準耐多藥治療,對照組標準飲食不足部分予靜脈補充,治療組在對照組基礎上加腸內營養粉。觀察1箇月後的營養狀況、療效和不良反應。結果治療組和對照組耐多藥肺結覈患者1箇月末NRS2002營養風險初篩≥3分病例數分彆為8例和17例,病竈總吸收率為42.9%和17.9%,總不良反應率為53.6%和89.3%,兩組比較差異均有統計學意義(P<0.05)。結論營養支持可改善NRS2002評估≥3分的耐多藥肺結覈患者的營養狀況,提高療效,減少不良反應。
목적:료해영양지지대영양풍험사사NRS2002평고≥3분내다약폐결핵환자적영향。방법56례내다약폐결핵환자진행영양풍험사사NRS2002평고≥3분환자,수궤분위치료조화대조조,각28례。량조균접수표준내다약치료,대조조표준음식불족부분여정맥보충,치료조재대조조기출상가장내영양분。관찰1개월후적영양상황、료효화불량반응。결과치료조화대조조내다약폐결핵환자1개월말NRS2002영양풍험초사≥3분병례수분별위8례화17례,병조총흡수솔위42.9%화17.9%,총불량반응솔위53.6%화89.3%,량조비교차이균유통계학의의(P<0.05)。결론영양지지가개선NRS2002평고≥3분적내다약폐결핵환자적영양상황,제고료효,감소불량반응。
Objective To understand influence by nutritional support on multi-drug resistant tuberculosis patients with NRS2002≥ 3 points.Methods A total of 56 multi-drug resistant tuberculosis patients with NRS2002≥ 3 points were randomly divided into treatment group and control group, with 28 cases in each group. Both groups received standard multi-drug resistant treatment. The control group received intravenous supplement for standard diet, while the treatment group received additional enteral nutritional powder. Nutrition status, curative effect and adverse reactions after 1 month were observed.Results The treatment group and the control group respectively contained 8 cases and 17 cases of multi-drug resistant tuberculosis patients with NRS2002≥ 3 points at the end of 1 month. Their lesions total absorption rates were 42.9% and 17.9%, and their total adverse reactions rates were respectively 53.6% and 89.3%. The differences between the two groups all had statistical significance (P<0.05).Conclusion Nutritional support can raise nutrition status, improve curative effect, and reduce adverse reactions in multi-drug resistant tuberculosis patients with NRS2002≥ 3 points.