摘要
目的研究肺结核患者营养风险与临床特征的相关性。方法收集成都市公共卫生临床医疗中心结核科2019年1—5月收治的313例住院肺结核患者的营养风险及临床特征资料。营养风险采用《营养风险筛查2002》进行评分,包括营养状况评分、疾病严重程度评分和年龄评分,总分为0~7分。临床特征包括患者性别、年龄、发病时间、患者类型、肺外结核、并发症、呼吸道标本抗酸染色、呼吸道标本BACTEC MGIT 960液体培养。分别采用一元线性回归和多元线性回归对肺结核患者营养风险与其临床特征的相关性进行分析。结果313例患者营养风险评分为0~7分,平均为(4.06±1.27)分;营养风险评分≥3分者279例,占89.1%,<3分者34例,占10.9%。其中,营养状况评分平均为(2.49±1.03)分,疾病严重程度评分平均为(1.02±0.07)分,年龄评分平均为(0.07±0.01)分。一元线性回归分析结果显示,年龄≥60岁(t=7.653,P=0.002)、发病时间(t=10.558,P=0.001)、患者类型(t=2.305,P=0.002)、并发肺外结核(t=4.755,P=0.016)、并发症(t=45.343,P=0.017)对营养风险评分的影响差异有统计学意义。多元线性回归分析结果显示,年龄≥60岁营养风险评分较高(t=1.345,P=0.016);发病时间越长,营养风险评分越高(t=3.986,P=0.001);患者并发症越多,营养风险评分越高(t=8.569,P<0.001)。结论老年肺结核患者、发病时间较长及并发症较多是肺结核患者出现营养风险的危险因素。
Objective To study the correlation between nutritional risk status and clinical characteristics of pulmonary tuberculosis patients.Methods To collected the nutritional risk profile and clinical features of information(including sex,age,time,type,extrapulmonary tuberculosis,complications,patients with respiratory tract specimens,respiratory specimens of acid-fast stain BACTEC MGIT 960 liquid culture)of 313 cases tuberculosis patients admitted to TB Division of Chengdu Public Health Clinical Center from Jan to May,2019.Nutritional risk was assessed by Nutritional Risk Screening 2002,including nutritional status score,disease severity score and age score,the total score is 0-7.Single linear regression analysis was carried out for each clinical feature,and the correlation between nutritional risk and clinical characteristics of pulmonary tuberculosis patients was analyzed by multiple linear regression.Results The nutritional risk assessment score of 313 patients based on Nutritional Risk Screening 2002 was 0-7,with an average score of 4.06±1.27;279 patients with scores≥3 points,accounting for 89.1%,34 patients with scores<3 points,accounting for 10.9%.Among them,the average score of nutritional status was 2.49±1.03,the average score of disease severity was 1.02±0.07,and the average score of age was 0.07±0.01.Single linear regression analysis showed that age 60 years or more(t=7.653,P=0.002),disease onset period(t=10.558,P=0.001),the types of patients(t=2.305,P=0.002),concurrent extrapulmonary tuberculosis(t=4.755,P=0.016),complications(t=45.343,P=0.017)had a statistically significant difference in nutritional risk score.The results of multiple linear regression analysis showed that age elder than 60 years old(t=1.345,P=0.016),time of onset(t=3.986,P=0.001)and complications(t=8.569,P<0.001)were the factors that affected the nutritional risk.Conclusion Elderly pulmonary tuberculosis patients,time of onset and complications are the risk factors affecting the nutritional risk status of pulmonary tuberculosis patients.
作者
毛毅
陈怡
吴桂辉
陈静
MAO Yi;CHEN Yi;WU Gui-hui;CHEN Jing(Department of Tuberculosis,Public Health Clinical Center of Chengdu,Chengdu 610061,China)
出处
《结核与肺部疾病杂志》
2020年第2期24-28,共5页
Journal of Tuberculosis and Lung Disease
基金
成都市卫生和计划生育委员会科研课题(2015066)
关键词
结核
肺
疾病特征
营养评价
回归分析
Tuberculosis,pulmonary
Disease attributes
Nutrition assessment
Regression analysis
作者简介
第一作者:毛毅,对本文有同等贡献;第一作者:陈怡,对本文有同等贡献;通信作者:吴桂辉,Email:wghwgh2584@sina.com
