摘要
目的探究手机依赖、睡眠障碍对肺结核患者营养状况、炎症水平及疾病严重程度影响。方法选取2019年1月至2019年12月收治的154例青年肺结核患者为研究对象,根据是否合并手机依赖、睡眠障碍将患者分为4组:A组(不合并手机依赖及睡眠障碍)50例,B组(单纯手机依赖)49例,C组(单纯睡眠障碍)35例,D组(手机依赖合并睡眠障碍)20例。分析4组患者在营养状况、炎症水平及疾病严重程度方面的差异。结果与A组相比,D组体质量指数(BMI)、淋巴细胞绝对值(LYM)更低,C反应蛋白(CRP)、红细胞沉降率(ESR)水平更高,更易出现病原学阳性、肺部空洞、支气管结核(均P<0.05)。结论手机依赖合并睡眠障碍影响肺结核患者营养状况、炎症水平及疾病严重程度,提倡早期干预手机依赖、纠正睡眠障碍或可改善患者病情。
Objective To explore the effects of mobile phone dependence and sleep disorder on nutritional status,inflammatory level and disease severity of patients with pulmonary tuberculosis.Methods A total of 154 young pulmonary tuberculosis patients admitted from January 2019 to December 2019 were selected.The patients were divided into four groups,group A(without mobile phone dependence or sleep disorder)(n=50),group B(only mobile phone dependence)(n=49),group C(only sleep disorder)(n=35)and group D(mobile phone dependence with sleep disorder)(n=20)according to with or without mobile phone dependence and sleep disorder.The differences of nutritional status,inflammatory level and disease severity among groups were analyzed.Results Compared with the group A,body mass index(BMI)and absolute lymphocyte value(LYM)in groups D were significantly lower;C-reactive protein(CRP)and erythrocyte sedimentation rate(ESR)were significantly higher;pathogenic positive,pulmonary cavity,bronchial tuberculosis were more likely to occurre(all P<0.05).Conclusion For pulmonary tuberculosis patients,mobile phone dependence combined with sleep disorder can affect their nutritional status,inflammatory level and disease severity.If these are intervened as soon as possible,the patient's condition may be improved.
作者
李百远
李元军
李玲霞
Li Baiyuan;Li Yuanjun;Li Lingxia(Department of Respiratory and Critical Care Medicine,the Affiliated Hospital of Yan'an University,Yan'an 716000,China;Department of Anesthesiology,the Affiliated Hospital of Yan'an University,Yan'an 716000,China;Department of Respiratory and Tuberculosis,Yan'an Second People's Hospital,Yan'an 716000,China)
出处
《临床荟萃》
CAS
2021年第8期719-723,共5页
Clinical Focus
基金
陕西省卫生计生委科研基金生活方式与陕北肺结核患者发病和疗效的相关性研究(2016D082)
延安市2020年度科技计划重大专项喉罩全麻下支气管镜介入治疗在支气管结核中的临床研究(SL2019ZCSZ-003)。
关键词
结核
肺
手机依赖
睡眠障碍
tuberculosis,pulmonary
mobile phone dependence
sleep disorders
