终末期肝病营养支持的研究现状

马红琳; 杨婧; 金秋; 罗润; 冷娇; 王霞

doi:10.3969/j.issn.1001-5256.2022.01.038

终末期肝病营养支持的研究现状

DOI: 10.3969/j.issn.1001-5256.2022.01.038

昆明医科大学第二附属医院消化内科，昆明 650000

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：马红琳负责文章设计并撰写论文；金秋、罗润、冷娇、王霞参与查阅并整理分析文献；杨婧负责指导撰写及修改论文。

详细信息

通信作者:
杨婧，yangjing_dl@163.com

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出版历程
- 收稿日期: 2021-05-05
- 录用日期: 2021-06-22
- 出版日期: 2022-01-20

Current status of research on nutritional support in end-stage liver disease

Department of Gastroenterology, The Second Affiliated Hospital of Kunming Medical University, Kunming 650000, China

摘要

摘要: 营养不良在终末期肝病患者中发生率较高，常促进疾病的进展，对患者的预后产生不良影响。简述了终末期肝病营养不良的病因，重点介绍了终末期肝病营养筛查、评定及治疗的国内外研究进展。希望能对我国终末期肝病患者的营养支持提供启示。
- 终末期肝病 /
- 营养不良 /
- 营养评价 /
- 营养支持
Abstract: There is a high prevalence rate of malnutrition in patients with end-stage liver disease, which often promotes disease progression and has a negative impact on the prognosis of patients. This article briefly describes the etiology of malnutrition in end-stage liver disease and introduces the research advances in nutrition screening, evaluation, and treatment in end-stage liver disease in China and globally, hoping to provide inspiration for nutritional support in patients with end-stage liver disease in China.
- End Stage Liver Disease /
- Malnutrition /
- Nutrition Assessment /
- Nutritional Support

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表 1 营养筛查工具的评估内容

项目	RFH-NPT	LDUST	NRS-2002	GMS	MNA-SF
急性酒精性肝病	√
管饲营养	√
体液潴留	√	√
BMI	√		√	√	√
体质量变化	√	√	√	√	√
饮食情况	√	√	√	√	√
活动状况		√			√
脂肪和肌肉丢失		√
疾病状况			√		√
疾病严重情况			√	√
年龄			√	√
精神疾病					√

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