[肺结核及伴发疾病患者代谢紊乱的纠正]。

Q4 Medicine Tuberculosis and Lung Diseases Pub Date : 2010-01-01
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引用次数: 0

摘要

对53例肺结核及伴发疾病患者,应用口服专用配方Nutrien-phthisio (ZAO“Company Nutritec”,Russia)纠正代谢紊乱。全组首次检出结核21例;32有一个慢性过程。所有患者因合并症(糜烂性胃炎、胃十二指肠消化性溃疡、乙型和丙型肝炎、慢性肾盂肾炎)引起的不耐受现象24例,因不良反应19例,因两种因素共同作用10例停止化疗。客观监测营养支持(结合特定治疗)有效性的标准是体重指数、一般血液分析,考虑淋巴细胞的百分比和绝对计数以及血清总蛋白、白蛋白和转铁蛋白水平的蛋白质代谢。该研究确定了使用Nutrien-phthisio的临床和实验室适应症,以及营养支持对结核过程和伴随疾病的有利影响。
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[CORRECTION OF METABOLIC DISTURBANCES IN PATIENTS WITH PULMONARY TUBERCULOSIS AND CONCOMITANT DISEASES].

Metabolic disturbances were corrected using the oral specialized formula Nutrien-phthisio (ZAO "Company Nutritec", Russia) in 53 patients with pulmonary tuberculosis and concomitant diseases. In the whole group, tuberculosis was first detected in 21 patients; 32 had a chronic process. Chemotherapy was discontinued in all the patients due to the intolerance phenomena caused by comorbidity (erosive gastritis, gastroduodenal peptic ulcer, hepatitis B and C, chronic pyelonephritis) in 24 patients, by adverse reactions in 19, and by a combination of both factors in 10. The criteria for objectively monitoring the efficiency of nutritional support (in combination with specific treatment) were body mass index, general blood analysis, by taking into account the percentage and absolute count of lymphocytes and the protein metabolism from the serum levels of total protein, albumin, and transferrin. The study determined clinical and laboratory indications for the use of Nutrien-phthisio and the favorable impact of nutritional support on the course of a tuberculous process and concomitant diseases.

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来源期刊
Tuberculosis and Lung Diseases
Tuberculosis and Lung Diseases Medicine-Pulmonary and Respiratory Medicine
CiteScore
1.20
自引率
0.00%
发文量
88
审稿时长
8 weeks
期刊介绍: The Journal is aimed for professional development of researchers, doctors, teachers of medical universities and training institutions. The Journal focuses on the presentation of results of research, case studies, issues of differential diagnostics and treatment in the phthisiologist’s practice, national programs on tuberculosis control in the Russian Federation, WHO strategies, discussion of prevention issues to stop transmission of TB/HIVco-infection, and extrapulmonary tuberculosis.
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