本文選題：酒精性肝硬化 + 病毒性肝硬化　； 參考：《腸外與腸內(nèi)營養(yǎng)》2017年02期

【摘要】：目的:對比分析酒精性肝硬化和病毒性肝硬化病人的營養(yǎng)狀況,為營養(yǎng)支持提供針對性依據(jù)。方法:選擇酒精性肝硬化病人95例,病毒性肝硬化病人260例,入院后48 h內(nèi)采用歐洲營養(yǎng)風(fēng)險(xiǎn)篩查2002(NRS2002)和主觀整體評估(SGA)法對病人進(jìn)行評估,記錄病人的性別、年齡、肝功能Child-Pugh分級、血清清蛋白(ALB)、前清蛋白(PA)和血紅蛋白(Hb)指標(biāo),測量病人身高、體重,計(jì)算體重指數(shù)(BMI)。結(jié)果:酒精性肝硬化和病毒性肝硬化病人的NRS 2002營養(yǎng)風(fēng)險(xiǎn)發(fā)生率分別為76.80%和65.00%,SGA評估的營養(yǎng)不良發(fā)生率分別為67.40%和61.90%。兩組病人的性別、Child-Pugh A級、ALB、PA、Hb、NRS 2002篩查等結(jié)果差異均有顯著性統(tǒng)計(jì)學(xué)意義。而年齡、Child-Pugh B級、Child-Pugh C級、BMI、SGA評估等結(jié)果則無顯著性差異。結(jié)論:兩種類型肝硬化病人普遍存在營養(yǎng)問題,酒精性肝硬化病人的營養(yǎng)風(fēng)險(xiǎn)發(fā)生率、貧血程度顯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.
【作者單位】： 首都醫(yī)科大學(xué)附屬北京佑安醫(yī)院營養(yǎng)科;
【分類號】：R459.3;R575.2
，

本文編號：1937463