摘要
目的 探讨肺癌合并肺结核感染患者的营养风险及影响因素,为肺癌合并肺结核感染患者的营养管理提供参考.方法 选取 2021 年 1 月至 2022 年 12 月浙江省中西医结合医院收治的 174 例肺癌合并肺结核患者为研究对象,收集其一般情况、临床资料及营养风险评价,并对其营养风险情况进行单因素及多因素logistic回归分析.结果 肺癌合并肺结核患者不同体重指数(BMI)、结核菌涂片/培养、血红蛋白、白蛋白及C反应蛋白的营养风险评价差异有统计学意义(P＜0.05);肺炎合并肺结核患者不同年龄、性别、吸烟史、结核类型、耐药结核的营养风险评价差异无统计学意义(P＞0.05).经多因素logistic分析,结果显示BMI(OR=1.636,95%CI:1.239～1.863)和血红蛋白(OR=0.626,95%CI:0.517～0.757)是肺癌合并肺结核患者营养风险评价情况的影响因素(P＜0.05).结论 不同BMI和血红蛋白是肺癌合并肺结核感染患者的营养风险及影响因素,可制订计划,在营养管理方面为肺癌合并肺结核感染患者提供更好的方案,为其提供理论依据.
Abstract
Objective To explore the nutritional risk and influencing factors of lung cancer patients with pulmonary tuberculosis infection,and to provide reference for nutritional management of lung cancer patients with pulmonary tuberculosis.Methods A total of 174 patients with lung cancer complicated with tuberculosis admitted to Zhejiang Hospital of Integrated Traditional and Western Medicine from January 2021 to December 2022 were selected as the study objects.Their general situation,clinical data,and nutritional risk assessment were collected,and univariate and multivariate logistic regression analysis was performed for their nutritional risk.Results There were statistically significant differences in nutritional risk assessment among lung cancer patients with pulmonary tuberculosis among different body mass index(BMI),tuberculosis smear/culture,hemoglobin,albumin,and C-reactive protein levels(P＜0.05);there were no statistically significant differences in nutritional risk assessment among patients with pneumonia combined with pulmonary tuberculosis,including age,gender,smoking history,tuberculosis type,and drug-resistant tuberculosis(P＞0.05).After multiple factor logistic analysis,the results showed that BMI(OR=1.636,95%CI:1.239-1.863)and hemoglobin(OR=0.626,95%CI:0.517-0.757)were the influencing factors for nutritional risk assessment in lung cancer patients with pulmonary tuberculosis(P＜0.05).Conclusion Different BMI and hemoglobin levels are nutritional risks and influencing factors for lung cancer patients with pulmonary tuberculosis.A plan can be developed to provide better nutrition management options and theoretical basis for lung cancer patients with pulmonary tuberculosis.
基金项目
浙江省杭州市生物医药和健康产业发展扶持科技专项(2021WJCY324)
NETL
NSTL
万方数据