摘要
Abstract
Objective:To analyze the nutritional status and risk factors of adult tuberculosis inpatients in Wenzhou City,so as to provide reference for early nutritional intervention.Methods:A total of 740 patients with tuberculosis diagnosed in the Infection Department of Wenzhou Central Hospital from January 1 to July 5,2023 were selected.Excluding 4 patients who could not get measured for weight due to usage of trolley or wheelchair,2 patients with severe mental illness and 18 patients with incomplete laboratory data,716 patients were included in the study.Demographic,clinical and laboratory data on admission were collected,including sex,age,diagnostic type of tuberculosis,type of treatment,complication,BMI,number of affected lung fields,detection of Mycobacterium Tuberculosis,drug resistance,nutritional risk screening-2002(NRS-2002)results,serum total protein,albumin,prealbumin,hemoglobin,lymphocyte count,neutrophil-to-lymphocyte ratio(NLR),prognostic nutrition index(PNI),etc.The above data were statistically compared,and the occurrence and influencing factors of nutritional risk were analyzed.Results:Among the 716 patients,231 patients with NRS 2002 score ≥3 were included in the nutritional risk group,and 485 patients with NRS 2002 score＜3 were included in the non-nutritional risk group.The incidence of nutritional risk was 32.26％(231/716).Multivariate logistic regression analysis showed the affected lung fields＞3(OR(95％CI)=2.066(1.349-3.165)),albumin＜30 g/L(OR(95％CI)=4.468(1.767-11.297)),prealbumin ≤200 g/L(100-200 g/L:OR(95％CI)=2.249(1.377-3.674),＜100 g/L:OR(95％CI)=5.585(2.841-10.981)),hemoglobin ≤120 g/L(91-119 g/L:OR(95％CI)=2.205(1.458-3.335),≤90 g/L:OR(95％CD=2.882(1.374-6.047))were risk factors of nutritional risk in patients.Conclusion:The incidence of nutritional risk of adult inpatients with tuberculosis in Wenzhou City is high.In the course of treatment,more attention should be paid to the nutritional status of these patients,especially those with affected lung fields＞3,low albumin/prealbumin/hemoglobin.关键词
结核/营养状况/危险因素Key words
Tuberculosis/Nutritional status/Risk factors分类
临床医学
