| Objective:The article surveyed the TB patients' dietary nutritional status and the situation of medication in Hui Autonomous Prefecture of Changji,in order to provide a reasonable basis for tuberculosis patients of diet guidance and health promotion of tuberculosis patients.Methods:1,980 patients with tuberculosis in Hui Autonomous Prefecture of Changji were selected as the case group,and 1980 normal people were selected as the control group.Two groups were matched by age and gender.Then the trained professional investigators conductes a face-to-face questionnaire,which included basic information,physical examination,awareness rate of dietary nutrition, health knowledge and knowledge about diet;use the investigation of dietary frequency to collect the consumption of food types,and the recall method of 24-hour food intake to collect the dietary intake.Results:According to statistical analysis of DDS,was 6.42,which is lower than control group 6.11,P <0.05),DDS get 7 or more points in case group was37.67%,significantly lower than the control group,45.5%;2.9%of case group got 3 points,significantly higher than control group 0.7%(P <0.05).It was showed that TB patients' daily dietary was very monotonous.The consumption of vegetables,cereals and oils in both two groups were highest,reaching at mole than 98%,but the consumption of fish and shrimp was only 4.1%and 2.6%in the two groups.Intake levels of energy and nutrients according from the recall method of 24-hour showed,except Sodium,TB patients daily intake of other nutrients were significantly lower than control group,the intake of Retinol and Calcium in TB patients were 208.75 lag and retinol equivalent170.92 rag, only 89.5%and87.2%of the control group P<0.05), only 27.4%and22.3%ofthe Recommended Nutrient Intakes;Protein,F Riboflavin,Thiamin,Nick acid,Potassium,Sodium,Zinc,Selenium and other nutrients intake were less than 85%of the control group Q<0.05).Comparison showed that TB patients' daily dietary nutrients intake was significantly not sufficient.Survey of awareness rate about nutrition and health knowledge showed that awareness rate of TB patients was10.9%,lower than the control group 19.4%(P <0.05). Changji Prefecture tuberculosis patients with the largest number of anti tuberculosis drugs was ethambutol, accounting for 27.98%, accounted for rifapentine(RFPT) than 24.67% and isoniazid(INH) accounted for than 22.15%. Combined with four kinds of drugs for anti tuberculosis treatment of the largest proportion, accounting for 49.64%. Adverse reactions occurred in 40.61% days after treatment, and the adverse reactions occurred in 38.23% of 31~50 days, 100 days, and days, the proportion of adverse drug reactions was the smallest. Changji area of 1980, anti tuberculosis treatment after use(joint) use of a variety of adverse drug composition ratio, greater than 20 percent of the drugs, isoniazid(INH) accounting for 20.10% and rifampicin(RFP) accounted for 22.82%, rifapentine(RFPT) accounted for 20.50%. The rest are less than 10%. Conclusion:The overall level of dietary nutritional status of TB patients was not high.The dietary nutritional status needs to be improved in Hui Autonomous Prefecture of Changji;The intake of Vit A and Ca of TB patients at a lower level.Meanwhile, the malnutrition of TB patients is very serious,which is mostly causes by dietary imbalance.In a word,the author suggests diet structure should be improved for TB patients so that the Tuberculosis condition can be controlled in Hui Autonomous Prefecture of Changji. Anti tuberculosis drugs in patients with tuberculosis in Changji area use most of the programs is more reasonable, traditional anti tuberculosis drug use is still dominant, but the use of new drugs also continues to increase, will use auxiliary medicine of cough of equal parts, there are still a few unreasonable phenomenon, some disease kinds of combination of drugs in too much, the level of rational use of drugs in the doctor needs to be further improved. |
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