结核病与糖尿病共病营养治疗专家共识
Expert consensus on nutritional therapy for tuberculosis and diabetes mellitus comorbidity
摘要
Abstract
Tuberculosis(TB)and diabetes mellitus(DM)are two major global diseases,and the comorbid nutritional problems seriously compromise treatment outcomes.To standardize the clinical practice of nutritional therapy for patients with TB-DM comorbidity in China,the Chinese Antituberculosis Association jointly collaborated with multiple institutions and assembled a multidisciplinary expert panel.Based on available domestic and international research evidence and clinical practice experience,the panel comprehensively evaluated the quality of evidence and strength of recommendations using the Grading of Recommendations Assessment,Development and Evaluation(GRADE)System to formulate this consensus.This consensus systematically addresses 10 key components of nutritional therapy:principles and objectives,nutritional risk screening and assessment,dietary nutritional intervention,enteral and parenteral nutrition support,nutrition therapy monitoring,impacts of medications on nutritional management,nutritional intervention for comorbidities,nutritional care for special populations and health education.A total of 20 core recommendations have been established in this consensus.It aims to provide scientific,standardized and operational guidance for clinical nutritional diagnosis and management.By optimizing nutritional therapy,it can effectively improve glycemic abnormalities in patients and facilitate better anti-tuberculosis treatment outcomes.关键词
结核/糖尿病/共病现象/营养支持/指南Key words
Tuberculosis/Diabetes mellitus/Comorbidity/Nutritional support/Guidebooks分类
医药卫生引用本文复制引用
中国防痨协会,白丽琼,成诗明,中国防痨协会营养专业分会,湖南省防痨协会,湖南省结核病防治所(湖南省胸科医院),上海市肺科医院,中南大学湘雅公共卫生学院,张胜康,陈薇,任国峰..结核病与糖尿病共病营养治疗专家共识[J].中国防痨杂志,2026,48(7):913-924,12.基金项目
Hunan Provincial Natural Science Foundation of China(2026JJ81959) （2026JJ81959）
2025 Chronic Disease Management Research Project of National Health Commission Capacity Building and Continuing Education Center(GWJJMB202510025043) （GWJJMB202510025043）
Special Research Project of the Chinese Antituberculosis Association(CATA-TB20250704) （CATA-TB20250704）
Hunan Provincial Health Commission 2025 Medical Discipline Development Project(Tuberculosis Prevention and Control Discipline Development Project D-62) （Tuberculosis Prevention and Control Discipline Development Project D-62）
Chen Xiaoping Science and Technology Development Foundation(CXPJJH123010-21)湖南省自然科学基金(2026JJ81959) （CXPJJH123010-21）
国家卫生健康委能力建设和继续教育中心2025年度慢病管理研究课题(GWJJMB202510025043) （GWJJMB202510025043）
中国防痨协会专项课题(CATA-TB20250704) （CATA-TB20250704）
湖南省卫健委2025年医学学科建设项目(结核病防控学科建设项目D-62) （结核病防控学科建设项目D-62）
陈孝平科技发展基金会(CXPJJH123010-21) （CXPJJH123010-21）
