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目的了解65岁以上老年肺结核患者营养风险与营养不足的发生率,为提高营养支持提供依据。方法选取入住金华广福医院确诊为肺结核,65岁以上的患者126例为研究组,65岁以下的患者126例为对照组,进行营养风险与营养不足调查分析。结果研究组营养风险和营养不足的发生率分别为94.44%和57.14%,明显高于对照组的20.63%和14.29%(P<0.01);营养不足发生率复治组为73.33%,初治组为54.95%,两者差异无统计学意义(P>0.05)。结论老年肺结核营养风险与营养不足发生率较高,入院后应常规进行营养风险筛查,并及时给予营养支持治疗,以改善其临床结局。
Objective To understand the incidence of nutritional risk and undernutrition in elderly patients with pulmonary tuberculosis over the age of 65 and provide basis for improving nutrition support. Methods 126 patients diagnosed as pulmonary tuberculosis in Jinhua Guangfu Hospital who were admitted to Jinhua Guangfu Hospital were enrolled in this study. 126 patients aged 65 years and above were selected as the study group. 126 patients under 65 years old as the control group were investigated for nutritional risks and nutritional deficiencies. Results The incidence of nutritional risk and undernutrition in the study group were 94.44% and 57.14%, respectively, which were significantly higher than those in the control group (20.63% vs 14.29%, P <0.01). The incidence of undernourishment was 73.33% 54.95%, there was no significant difference between the two (P> 0.05). Conclusions The incidence of nutritional risk and malnutrition in elderly patients with tuberculosis is relatively high. After admission, nutrition risk screening should be conducted routinely and nutrition supportive treatment should be given in time to improve their clinical outcome.