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目的:探讨营养支持在老年性肺结核抗结核强化期应用的意义。方法:采用前瞻性随机对比研究方法对85例老年性肺结核病例进行分析。结果:营养支持组44例的白蛋白、前白蛋白、总淋巴细胞计数较对照组明显升高(P<0.05),抗结核强化期完成后肺部病灶明显吸收或吸收比例高于对照组(P<0.05),肺部空洞吸收、痰菌转阴与对照组比较无显著差异(P>0.05)。结论:老年性肺结核抗结核强化期增加营养支持治疗可降低胃肠道反应.改善营养状态,促进病灶吸收,特别是在中度营养不良患者中意义更大。
Objective: To explore the significance of nutritional support in the anti-tuberculosis stage of senile tuberculosis. Methods: A prospective randomized controlled study was conducted on 85 cases of senile pulmonary tuberculosis. Results: The albumin, prealbumin and total lymphocyte counts of 44 patients in nutrition support group were significantly higher than those in control group (P <0.05), and the proportion of lung lesions significantly absorbed or absorbed after the completion of anti-TB enhancement was higher than that of control group P <0.05). There was no significant difference in lung cavity absorption and sputum negative conversion compared with the control group (P> 0.05). Conclusions: Increasing nutritional support during the anti-tuberculosis stage of senile tuberculosis can reduce the gastrointestinal reaction, improve the nutritional status and promote the absorption of the lesion, especially in patients with moderate malnutrition.