酒精性肝硬化和病毒性肝硬化病人营养状况调查和分析

发布时间：2018-05-26 13:52

  本文选题：酒精性肝硬化 + 病毒性肝硬化　； 参考：《肠外与肠内营养》2017年02期

【摘要】：目的:对比分析酒精性肝硬化和病毒性肝硬化病人的营养状况,为营养支持提供针对性依据。方法:选择酒精性肝硬化病人95例,病毒性肝硬化病人260例,入院后48 h内采用欧洲营养风险筛查2002(NRS2002)和主观整体评估(SGA)法对病人进行评估,记录病人的性别、年龄、肝功能Child-Pugh分级、血清清蛋白(ALB)、前清蛋白(PA)和血红蛋白(Hb)指标,测量病人身高、体重,计算体重指数(BMI)。结果:酒精性肝硬化和病毒性肝硬化病人的NRS 2002营养风险发生率分别为76.80%和65.00%,SGA评估的营养不良发生率分别为67.40%和61.90%。两组病人的性别、Child-Pugh A级、ALB、PA、Hb、NRS 2002筛查等结果差异均有显著性统计学意义。而年龄、Child-Pugh B级、Child-Pugh C级、BMI、SGA评估等结果则无显著性差异。结论:两种类型肝硬化病人普遍存在营养问题,酒精性肝硬化病人的营养风险发生率、贫血程度显著高于病毒性肝硬化病人。
[Abstract]:Objective: to compare and analyze the nutritional status of alcoholic cirrhosis and viral cirrhosis. Methods: 95 patients with alcoholic cirrhosis and 260 patients with viral cirrhosis were assessed by European nutritional risk screening (2002 NRS 2002) and subjective global assessment (SGA) within 48 hours after admission. The sex and age of the patients were recorded. The indexes of liver function Child-Pugh, serum albumin, prealbumin and hemoglobin were measured to measure the height and weight of the patients, and to calculate the body mass index (BMI). Results: the nutritional risk rates of NRS 2002 in alcoholic cirrhosis and viral cirrhosis were 76.80% and 65.00%, 67.40% and 61.90%, respectively. There were significant differences between the two groups in the screening of NRS 2002 and so on. But there was no significant difference between Child-Pugh B and Child-Pugh C BMISGA. Conclusion: nutritional problems are common in patients with two types of cirrhosis. The incidence of nutritional risk and anemia in patients with alcoholic cirrhosis are significantly higher than those in patients with viral cirrhosis.
【作者单位】： 首都医科大学附属北京佑安医院营养科;
【分类号】：R459.3;R575.2
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本文编号：1937463