摘要
目的分析初治涂阳性肺结核(pulmonary tuberculosis,PTB)伴与不伴糖尿病(type 2 diabetes mellitus,T2DM)患者的营养状态。方法选取2018年1月至2019年7月本院收治的T2DM且初治涂阳的PTB患者100例作为T2DM-PTB组,另选取同期单纯初治PTB患者100例作为PTB组,均采用问卷调查的形式进行膳食调查。结果T2DM-PTB组能量、蛋白质、脂肪、碳水化合物、维生素A、维生素D及微量元素锌、硒的摄入量均明显低于PTB组(P<0.05)。T2DM-PTB患者膳食平衡指数(DBI-07)得分结果显示,正端分(DBI-HBS)平均得分为(6.49±1.28)分,66.0%的患者膳食摄入较适宜,低度摄入过量为27.0%;负端分(DBI-LBS)平均得分为(16.02±3.29)分,62.0%的患者膳食摄入存在低度及以上不足;膳食质量距(DBI-DQD)平均得分为(22.08±4.47)分,89.0%的患者膳食摄入存在低度及以上不足,均无高度膳食不平衡情况。T2DM-PTB患者主要存在A、B、D三种膳食模式,以A膳食模式为主,占69.50%;B膳食模式占20.50%;D膳食模式占比最低,仅为10.00%。结论T2DM-PTB患者营养素整体摄入情况较PTB患者差,主要问题为摄入不足,且T2DM-PTB患者仍存在膳食模式不理想的现象。
Objective To analyze the nutritional status of newly treated smear-positive pulmonary tuberculosis(PTB)patients with or without type 2 diabetes mellitus(T2 DM).Methods 100 patients with T2 DM and newly treated smear-positive PTB who were admitted to the hospital from January 2018 to July 2019 were enrolled as T2 DM-PTB group.100 patients with newly treated PTB who were admitted during the same period were enrolled as PTB group.The diet survey was conducted by questionnaires.Results The intakes of energy,protein,fat,carbohydrates,vitamin A,vitamin D and trace elements(zinc,selenium)of T2 DM-PTB group were significantly lower than those of PTB group(P<0.05).Diet Balance Index-07(DBI-07)scoring results of T2 DM-PTB group showed that the average DBI-higher bound score(DBI-HBS)was(6.49±1.28)scores.66.0%of the patients had proper dietary intake and 27.0%had lowly excessive intake.The average DBI-lower bound score(DBI-LBS)was(16.02±3.29)scores.62.0%of the patients had low-level or higher insufficient dietary intake.The average DBI-diet quality distance(DBI-DQD)was(22.08±4.47)scores.89.0%of the patients had low-level or higher insufficient dietary intake.No severe dietary imbalance was observed.There were A,B and D three dietary patterns in T2 DM-PTB group,and type A(69.50%)was dominated,followed by type B(20.50%),and then type D(10.00%).Conclusion The overall nutrient intake of T2 DM-PTB patients is worse than that of PTB patients.Insufficient intake is the main problem.The dietary pattern of T2 DM-PTB patients is unsatisfactory.
作者
李雪鹏
彭建
万欢
熊娜娜
LI Xuepeng;PENG Jian;WAN Huan;XIONG Nana(Department of Neuroendocrinology,Nanchang People’s Hospital,Nanchang,Jiangxi,330000,China)
出处
《当代医学》
2021年第18期98-100,共3页
Contemporary Medicine
关键词
涂阳
肺结核
T2DM患者
营养状态
Smear-positive
Pulmonary tuberculosis
T2DM patient
Nutritional status
