摘要
营养不良是活动性结核病患者的常见结局之一,也是结核病患者早期死亡的危险因素。若不加以干预,结核病与营养不良间会形成一种恶性循环,导致结核病患者临床症状更为严重,治疗不良事件发生率更高,患者死亡风险更高。随着中国居民平均生活水平的提高及临床营养学的发展,对于结核病患者的营养管理,也逐渐开始重视起来。为更有针对性地设计营养补充方案,首先需要明确结核病患者各类营养素缺乏的具体情况。作者通过对国内外结核病营养研究现状进行分析,综合阐述了结核病患者宏量营养素、维生素和矿物质等各类营养素缺乏的临床特征,梳理了结核病患者的营养支持治疗思路,提出了各营养素的补充目标。
Malnutrition is one of the common outcomes of the patients with active tuberculosis(TB),and it is also a risk factor for early death of the TB patients.Without interventions,a vicious circle between TB and malnutrition will be formed,resulting in more serious clinical manifestations,higher incidence of adverse drug events(ADEs),and higher risk of death in TB patients.Along with the improvement of the Chinese average living level and the development of clinical nutriology,more and more attentions have been paid to the nutrition management of TB patients.In order to design more targeted nutrition supplement programs,it is necessary to determine the specific situation of various nutrients deficiency in TB patients.Based on the analysis of national and international researches about the nutrients of TB patients,the author comprehensively expounded the clinical characteristics of the TB patients when they were short of macronutrients,vitamins and minerals etc.,combed the ideas of nutrition support treatment to the TB patients,and provided the targeted supplement indicators of various nutrients.
作者
姜丽
张晓强
刘伶俐
王晗
刘峰
李智越
沈生荣
JIANG Li;ZHANG Xiao-qiang;LIU Ling-li;WANG Han;LIU Feng;LI Zhi-yue;SHEN Sheng-rong(Nursing Department,Liaoyang Tuberculosis Hospital,Liaoning,Liaoyang 111005,China;不详)
出处
《中国防痨杂志》
CAS
CSCD
2020年第7期741-746,共6页
Chinese Journal of Antituberculosis
关键词
结核
营养不良
疾病特征
综述
Tuberculosis
Malnutrition
Disease attributes
Review
