目的：了解营养支持对营养风险筛查NRS2002评估≥3分耐多药肺结核患者的影响。方法56例耐多药肺结核患者进行营养风险筛查NRS2002评估≥3分患者，随机分为治疗组和对照组，各28例。两组均接受标准耐多药治疗，对照组标准饮食不足部分予静脉补充，治疗组在对照组基础上加肠内营养粉。观察1个月后的营养状况、疗效和不良反应。结果治疗组和对照组耐多药肺结核患者1个月末NRS2002营养风险初筛≥3分病例数分别为8例和17例，病灶总吸收率为42.9%和17.9%，总不良反应率为53.6%和89.3%，两组比较差异均有统计学意义(P<0.05)。结论营养支持可改善NRS2002评估≥3分的耐多药肺结核患者的营养状况，提高疗效，减少不良反应。%Objective To understand influence by nutritional support on multi-drug resistant tuberculosis patients with NRS2002≥ 3 points.Methods A total of 56 multi-drug resistant tuberculosis patients with NRS2002≥ 3 points were randomly divided into treatment group and control group, with 28 cases in each group. Both groups received standard multi-drug resistant treatment. The control group received intravenous supplement for standard diet, while the treatment group received additional enteral nutritional powder. Nutrition status, curative effect and adverse reactions after 1 month were observed.Results The treatment group and the control group respectively contained 8 cases and 17 cases of multi-drug resistant tuberculosis patients with NRS2002≥ 3 points at the end of 1 month. Their lesions total absorption rates were 42.9% and 17.9%, and their total adverse reactions rates were respectively 53.6% and 89.3%. The differences between the two groups all had statistical significance (P<0.05).Conclusion Nutritional support can raise nutrition status, improve curative effect, and reduce adverse reactions in multi-drug resistant tuberculosis patients with NRS2002≥ 3 points.
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