711例艾滋病合并结核病患者营养风险发生情况调查
Nutritional risk of 711 AIDS patients co-infected with tuberculosis
张爱华 1许萌 1杨宇英 1马丹丹 1程俊伟 1张歌 1任鹏飞 1江华2
作者信息
- 1. 河南省传染病医院(郑州市第六人民医院),郑州 450015
- 2. 北京大学护理学院,北京 100191
- 折叠
摘要
目的 分析河南省艾滋病合并结核病患者的营养风险发生情况及影响因素.方法 回顾性收集2019年1月至2022年12月在河南省某传染病专科医院住院的711例艾滋病合并结核病患者的临床病例资料,分析其营养风险发生情况及其影响因素.结果 河南省711例艾滋病合并结核病患者营养风险发生率为70.3％(500例).年龄＞60岁(OR=2.609,95％CI:1.375～4.949)、有吸烟史(OR=2.411,95％CI:1.617～3.595)、痰涂片/培养阳性(OR=1.919,95％CI:1.200～3.067)的患者营养风险发生率较高,居住地非农村(OR:0.125,95％CI:0.031～0.500)、HIV感染确诊时长≥6个月(OR=0.532,95％CI:0.336～0.844)、CD4细胞计数＞200个/µL(OR=0.191,95％CI:0.095～0.383)的患者营养风险发生率较低(P＜0.05).结论 河南省艾滋病合并结核病患者营养风险的发生比例较高,应重点关注年龄＞60岁、有吸烟史、居住在农村、HIV感染确诊时长＜6个月、痰涂片/培养阳性、CD4细胞计数≤200个/µL的患者,为其制定并实施科学、合理的干预措施,以降低营养风险发生率.
Abstract
Objective To analyze the characteristics and influencing factors of nutritional risk among AIDS patients with tuberculosis in Henan Province.Methods The clinical data of 711 AIDS patients with tuberculosis admitted to Henan Provincial Infectious Disease Hospital from January 2019 to December 2022 were retrospectively collected.The characteristics and influencing factors of nutritional risk were analyzed.Results The incidence of nutritional risk was 70.3％(500 cases)among the 711 AIDS patients with tuberculosis in Henan Province.The results of multivariate regression analysis showed that patients aged＞60 years(OR=2.609,95％CI:1.375-4.949),with a history of smoking(OR=2.411,95％CI:1.617-3.595),and positive for sputum smear/culture(OR=1.919,95％CI:1.200-3.067)had a higher incidence of nutritional risk.Patients living in non-rural areas(OR=0.125,95％CI:0.031-0.500),with a HIV infection diagnosis time of ≥6 months(OR=0.532,95％CI:0.336-0.844),and with a CD4+T lymphocyte count＞200 cells/μL(OR=0.191,95％CI:0.095-0.383)had a lower incidence of nutritional risk(P＜0.05).Conclusions The nutritional risk of AIDS patients with tuberculosis in Henan Province was relatively high.More attention should be paid to patients with age＞60 years,history of smoking,rural residence,HIV infection diagnosis time＜6 months,positive sputum smear/culture,and CD4+T lymphocyte count ≤200 cells/μL.Scientific and reasonable intervention measures should be formulated and implemented among such patients to decrease the incidence of nutritional risk.
关键词
艾滋病/结核病/营养Key words
AIDS/tuberculosis/nutrition引用本文复制引用
基金项目
河南省医学科技攻关计划联合共建项目(LH-GJ20191097)
出版年
2024
NETL
NSTL
万方数据