Wang Xiufen, Luo Li, Zhang Dandan, Wang Jinghua, Ning Xianjia, Lin Yi, Ke Xue, Li Guobao
Department of the Third Pulmonary Disease, The Third People's Hospital of Shenzhen, Shenzhen, Guangdong, People's Republic of China.
The Second Affiliated Hospital of Southern University of Science and Technology, Shenzhen, Guangdong, People's Republic of China.
J Multidiscip Healthc. 2022 Aug 26;15:1799-1807. doi: 10.2147/JMDH.S375441. eCollection 2022.
Patients with tuberculosis have a high nutritional risk, and patients with tuberculosis and structural lung disease have a poor quality of life. However, few studies have investigated the nutritional risk of patients with tuberculosis and structural lung disease. This study aimed to evaluate nutritional risk in patients with pulmonary tuberculosis and structural lung disease and to identify factors associated with nutritional risk in this population.
We performed a cross-sectional study of patients diagnosed with pulmonary tuberculosis and structural lung disease admitted to The Third People's Hospital of Shenzhen, China between January 1, 2019 and December 31, 2021. We assessed participants' nutritional risk using the Nutritional Risk Screening 2002 tool, and analyzed the relationship between nutritional risk and sociodemographic factors, disease status, and laboratory test results.
Of the 415 participants, 53.5% were at nutritional risk on admission to the hospital. Nutritional risk was significantly associated with being unmarried, destroyed lung, and red blood cell (RBC) and lymphocyte counts.
Patients with tuberculosis and structural lung disease had a high prevalence of nutritional risk. The main factors associated with nutritional risk were being unmarried, lung cavitation, and low RBC and lymphocyte counts. Patients hospitalized with pulmonary TB should be evaluated for nutritional risk. Moreover, unmarried patients and patients with lung cavitation or low RBC or lymphocyte counts should be closely monitored.
肺结核患者存在较高的营养风险，且肺结核合并肺部结构疾病的患者生活质量较差。然而，很少有研究调查过肺结核合并肺部结构疾病患者的营养风险。本研究旨在评估肺结核合并肺部结构疾病患者的营养风险，并确定该人群中与营养风险相关的因素。
我们对2019年1月1日至2021年12月31日期间在中国深圳市第三人民医院住院的诊断为肺结核合并肺部结构疾病的患者进行了一项横断面研究。我们使用2002年营养风险筛查工具评估参与者的营养风险，并分析营养风险与社会人口学因素、疾病状态和实验室检查结果之间的关系。
在415名参与者中，53.5%在入院时存在营养风险。营养风险与未婚、肺部毁损、红细胞（RBC）和淋巴细胞计数显著相关。
肺结核合并肺部结构疾病患者营养风险患病率较高。与营养风险相关的主要因素是未婚、肺空洞形成以及红细胞和淋巴细胞计数低。因肺结核住院的患者应评估其营养风险。此外，未婚患者以及有肺空洞形成或红细胞或淋巴细胞计数低的患者应密切监测。
