585例成年住院结核病人营养状态调查

目的综合评价成年住院结核病人的营养状况。方法随机抽取成年住院结核病人585例进行人体测量及生化检测。男357例,女228例,单一类型结核387例,合并两个类型以上198例。同期312例健康体检者作对照,测定并计算理想体质量百分比（IBW%）、体质量指数（BMI）、三头肌皮褶厚度（TSF）、上臂肌围（AMC）、血白蛋白（ALB）、转铁蛋白（TF）、前白蛋白（PA）、肌酐身高指数（CHI）、血淋巴细胞总数（TLC）。结核病人和对照组比较,结核病各型之间、各年龄组之间对比分析。采用t及F检验。结果结核病人组各项指标较对照组降低,并且在IBW%、BMI、TSF、ALB、TF、PA、CHI、TLC上有显著性差异（P<0.05）,2型与Ⅲ型比较各指标降低更为明显,并且在IBW%、BMI、TSF上有显著性差异（P<0.05）,合并两个类型以上较单一类型结核各指标降低明显,并且在IBW%、BMI、TSF、AMC、ALB、CHI、TLC上有显著性差异（P<0.05）。各年龄组比较,18～44岁、45～59岁、≥60岁3组间比较营养状况差别不大。结论结核病是营养相关性疾病。结核病人各营养指标较健康对照组降低,多数指标有显著性差异,2型较Ⅲ型结核、两个类型以上较单一类型结核营养状况更差。

Investigation on Nourishment Status in Hospitalized Adult Tuberculosis Patients

Objective To understand the nourishment condition of hospitalized adult tuberculosis patients. Methods 585 hospitalized adult tuberculosis cases were selected by random sampling.Among them,357 were male,228 were female;387 cases were with single type tuberculosis,and 198 cases were with 2 types of tuberculosis or above.Control group had 312 cases of healthy person.The height,weight,index of body weight%（IBW%）,body mass index（BMI）,triceps brachii skin fold（TSF）, upper arm muscle circumference（AMC）,serum albumin（ALB）,serum prealbumin（PA）, serum transferri（TF）,creatinine-height index（CHI）,and total number of lymphocyte（TLC） were measured in these cases.The measured data were compared between the tuberculosis group and the control group,different type of tuberculosis,and different age groups The data were analyzed by t test and F test. Results The IBW%,BMI,TSF,ALB,TF,PA,CHI and TLC in cases with tuberculosis were much lower than that in control group（P<0.05）.The IBW%,BMI and TSF in cases with type Ⅲ tuberculosis were much lower than those in type Ⅱ tuberculosis（P<0.05）.The IBW%,BMI,TSF,AMC,ALB,CHI and TLC in cases with 2 types of tuberculosis or above were much lower than that in single type tuberculosis（P<0.05）.There were no obvious different between the different age groups（1844y,4559y,≥60y）. Conclusions The tuberculosis is the nutrition relativity disease.Many data about nourishment condition in tuberculosis cases were much lower than those in the control group.Compared with cases with Ⅱ type tuberculosis and single type tuberculosis,the conditions of malnutrition in Ⅲ type tuberculosis and were with 2 types of tuberculosis or above were more severe.