NRS2002评分和血清白蛋白值与门诊肺结核患者病情的相关性

目的 评价NRS2002评分和血清白蛋白（ALB）值与门诊肺结核患者病情的相关性。 方法 选择2017年10月至2018年9月在余姚市人民医院肺结核门诊就诊的290名肺结核患者为研究对象。患者首次就诊时进行NRS2002营养筛查，NRS2002评分≥3分判定为存在营养风险。检测患者血清白蛋白（ALB）值，ALB≤35 g/L判定为营养不足。观察患者NRS2002评分、ALB值与肺结核患者痰液结核分枝杆菌阳性、肺结核空洞等情况的相关性。 结果 NRS2002评分、年龄与肺结核患者的病情相关。NRS2002评分≥3分以及ALB≤35 g/L的患者痰液结核分枝杆菌阳性率和存在肺结核空洞的比例均高于NRS2002评分35 g/L的患者（均P40岁为肺结核患者痰液结核分枝杆菌阳性的危险因素；而年龄、性别、NRS2002评分和ALB值均不是患者肺结核空洞的危险因素。 结论 NRS2002评分≥3分、ALB≤35 g/L的肺结核患者更容易出现痰液结核分枝杆菌阳性情况。肺结核患者营养状况与肺结核患者病情具有一定相关性。

The correlation of pulmonary tuberculosis with NRS2002 score and serum albumin value in outpatients

Objective To evaluate the correlation of pulmonary tuberculosis with NRS2002 score and serum albumin (ALB) value. Methods 290 patients with pulmonary tuberculosis in our hospital from October 2017 to September 2018 were enrolled and screened by NRS2002 nutrition examination at the first visit NRS2002 score ≥3 was judged as nutrition risk. Serum albumin (ALB) value was measured, and ALB ≤35 g/L was judged as malnutrition. The correlation of NRS2002 score and ALB value with positive sputum Mycobacterium tuberculosis and the cavities of lung tissue in pulmonary tuberculosis patients was observed. Results NRS2002 score and age were correlated with the disease condition of tuberculosis patients The rate of positive sputum Mycobacterium tuberculosis and the ratio of tuberculosis cavities in patients with NRS2002 score ≥3 or ALB ≤35 g/L were significantly higher than those with NRS2002 score 35 g/L. The Logistic analysis showed that the NRS2002 score ≥3 and age >40 years were the risk factors of patients with positive sputum Mycobacterium tuberculosis Age, gender, NRS2002 score and ALB value were not the risk factors of patients with pulmonary cavities. Conclusion Patients with NRS2002 score ≥3 are more prone to positive sputum Mycobacterium tuberculosis The nutritional status of tuberculosis patients is related to their disease condition.