多学科联合诊疗模式营养支持在肺结核合并糖尿病患者中的应用

Application of nutrition support of multi-disciplinary diagnosis and treatment mode in patients with tuberculosis and diabetes mellitus

  • 摘要: 目的 探讨多学科联合诊疗(MDT)模式营养支持在肺结核合并糖尿病患者中的应用效果。 方法 选取在本院肺结核科住院治疗的52例糖尿病合并肺结核患者作为研究对象,随机分为对照组与干预组。干预组在肺结核治疗与糖尿病治疗的基础上联合应用MDT个性化饮食指导,对照组则在肺结核与糖尿病治疗的基础上联合应用常规饮食干预。分析并比较2组患者治疗前后生化指标、胸部CT检查肺部病灶吸收情况、痰菌转阴率和营养评价指标情况。 结果 治疗后1、6个月,干预组血生化指标水平、肺部病灶吸收率、痰菌转阴率和营养评价指标结果均优于对照组,差异有统计学意义(P<0.05)。 结论 MDT模式营养支持应用于肺结核合并糖尿病患者可提高治疗效果,缩短住院时间,减少医疗费用。

     

    Abstract: Objective To investigate effects of nutritional support of multi-disciplinary diagnosis and treatment(MDT)mode in patients with pulmonary tuberculosis and diabetes. Methods A total of 52 patients with diabetes mellitus complicated with pulmonary tuberculosis who were hospitalized in our hospital were randomly divided into control group and intervention group. Intervention group was given treatments for pulmonary tuberculosis and diabetes as well as MDT personalized diet guidance. The control group was given regular diabetes diet based on treatments for pulmonary tuberculosis and diabetes. Biochemical indicators, absorption of lung lesions by chest CT examination, clearance rate of sputum bacteria and nutritional evaluation indicators of the two groups before and after treatment were observed and analyzed. Results After 1- and 6- month treatment, the blood biochemical parameters, absorption rate of lung lesion, clearance rate of sputum bacteria and nutritional evaluation index of the intervention group were better than those in the control group(P<0.05). Conclusion MDT nutritional support can improve the treatment effect, shorten the length of stay and reduce the medical cost.

     

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