人体测量学指标在肝硬化病人营养风险评估中的意义

发布时间：2018-01-14 21:26

本文关键词：人体测量学指标在肝硬化病人营养风险评估中的意义　出处：《肠外与肠内营养》2016年01期 　论文类型：期刊论文

【摘要】：目的:研究人体测量学指标在肝硬化病人营养风险评估中的作用。方法:收集339例肝硬化病人为肝硬化组,同期体检的50例健康志愿者为正常对照组。使用营养风险2002(NRS 2002)评分对入组者进行营养风险评估,同时测量身高、体重、肱三头肌皮皱厚度(TSF)、肩胛下皮皱厚度(SFT)、上臂围(AC)和手握力(HGS)等,根据所得数据计算体重指数(BMI)和上臂中部肌肉围(AMC)。使用t检验、皮尔森相关、二分类Logistic回归等统计方法。结果:两组AC、AMC、SFT和双手握力等指标差异均有显著性统计学意义(P0.05)。有营养风险的肝硬化病人BMI、AC、TSF、AMC、SFT和HGS均明显低于无营养风险者,差异有显著性统计学意义(P0.05)。并发症和AMC是肝硬化病人发生营养风险的危险因素,而BMI则是保护性因素。结论:1肝硬化病人有无营养风险者在人体测量学指标存在差异,其中AMC和BMI是病人存在营养风险的危险因素和保护性因素。2综合人体测量学、血生化检查和其他评估方法可以提高营养风险评估的准确率。
[Abstract]:Objective: to study the role of anthropometric indexes in nutritional risk assessment of cirrhotic patients. In the same period, 50 healthy volunteers were taken as the normal control group. The nutritional risk was assessed by NRS 2002. Height and weight were measured at the same time. The thickness of triceps brachii skin wrinkle (TSF), subscapular skin wrinkle thickness (SFT), upper arm circumference (AC) and hand grip strength (HGS) were observed. The body mass index (BMI) and the midarm muscle circumference (AMC) were calculated according to the data obtained. T test, Pearson correlation, two-classification Logistic regression and other statistical methods were used. Results: two groups of AC. There were significant differences in AMC SFT and grip strength between two hands (P 0.05). BMIAC TSFV AMC in patients with liver cirrhosis with nutritional risk was significantly higher than that in control group (P < 0.05). SFT and HGS were significantly lower than those without nutritional risk, the difference was statistically significant (P 0.05). Complications and AMC were the risk factors of nutritional risk in patients with liver cirrhosis. BMI is the protective factor. Conclusion there are differences in anthropometric indexes in patients with liver cirrhosis with or without nutritional risk. AMC and BMI are risk factors and protective factors of nutritional risk for patients. 2 Comprehensive anthropometry. Blood biochemical examination and other assessment methods can improve the accuracy of nutritional risk assessment.
【作者单位】：上海中医药大学附属曙光医院;上海中医药大学肝病研究所;上海中医药大学肝肾疾病病证教育部重点实验室;上海中医药大学上海市中医临床重点实验室;
【基金】：上海市教育委员会重点学科(第五期)建设项目(J50307) 上海市高校创新团队建设项目(第一期) 国家中医药管理局中医肝胆病重点学科(2010sh)
【分类号】：R575.2;R459.3
【正文快照】： 营养风险在肝病病人尤其是终末期肝病病人中普遍存在,患病率高[1-2],但诊断率和治疗率很低。营养风险与病人的临床结局密切相关,若早期发现并给予必要的营养支持能使病人从中获益[3]。使用实验室检查指标进行评估易受多种因素的影响,而人体测量学指标则相对稳定。目前,人体测

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