Nagata Nobuhiko, Matsunaga Kazuko, Wakamatsu Kentaro, Kajiki Akira, Kitahara Yoshinari
Department of Respiratory Medicine, National Hospital Organization Omuta National Hospital, 1044-1, Tachibana, Omuta-shi, Fukuoka 837-0911, Japan.
Kekkaku. 2009 Sep;84(9):611-6.
To investigate the relation between nutritional state of tuberculous patients admitted in tuberculous ward and their outcome at the time of discharge.
We retrospectively investigated BMI, peripheral blood lymphocyte count, serum albumin concentration, and induration size of PPD skin test at the time of admission from their clinical charts of all 174 tuberculous patients newly admitted in NHO Omuta National Hospital during the period from 2000 to 2002, and based on these indices, the nutritional state of tuberculous patients was divided into severely impaired, moderately impaired, and mildly impaired or normal. The relation between nutritional state on admission and the outcome at the time of discharge was examined.
The worse the nutritional state on admission, the higher the rate of death from all causes and tuberculosis, and the higher the average age and the duration of hospitalization.
The assessment method of nutritional state reported in our study is easily applicable to every tuberculous patients admitted in tuberculous ward, and the outcome of tuberculous patients at the time of discharge could be expected, based on the nutritional state assessed with this method. Prospective study is needed to ascertain the validity of results obtained in the present study.
探讨结核病病房收治的结核病患者营养状况与其出院时结局之间的关系。
我们回顾性调查了2000年至2002年期间新入住大牟田国立医院的174例结核病患者入院时的BMI、外周血淋巴细胞计数、血清白蛋白浓度及PPD皮肤试验硬结大小，并根据这些指标将结核病患者的营养状况分为严重受损、中度受损、轻度受损或正常。研究入院时营养状况与出院时结局之间的关系。
入院时营养状况越差，全因死亡率和结核病死亡率越高，平均年龄和住院时间越长。
本研究报道的营养状况评估方法易于应用于结核病病房收治的每例结核病患者，基于该方法评估的营养状况可预测结核病患者出院时的结局。需要进行前瞻性研究以确定本研究结果的有效性。
