PDF下载 ( 1069 KB)
The nutritional evaluation in chronic liver failure
-
摘要: 目的分析慢性肝衰竭患者的营养状态、探讨改良SGA评分在慢性肝衰竭中的应用价值。方法以30例慢性乙型肝炎患者为对照组,分析80例慢性肝衰竭患者入院或确诊时的营养状态,测量肱三头肌皮褶厚度,计算改良SGA评分。给予患者胃肠道内外混合营养支持治疗,观察改良SGA评分对慢性肝衰竭患者的营养学评价应用。结果在入院或确诊时慢性肝衰竭患者能量摄入明显下降（18.37±5.08）kcal.kg-1.d-1,营养组分不合理,皮褶厚度下降（16.70±5.36）mm,改良SGA评分升高19.05±2.67,经营养支持治疗后改良SGA评分下降。结论慢性肝衰竭患者存在能量摄入不足,营养不良,改良SGA评分在一定程度上可以反映患者营养不良状态。Abstract: Objective To analyze the nutritional condition of the patients with chronic liver failure.Methods Compared with the control group of 30 patients of hepatitis B, 80 patients with chronic liver failure were selected.The nutritional status were evaluated, Triceps skinfold thickness were measured and SGA score were calculated.The patients were treated by enteral and parenteral mixed nutritional support and the application of SGA score in nutrition assessment for patients were obvserved.Results Pretreatment energy intake in patients with chronic liver failure decreased (18.37 ± 5.08) kcal·kg-1·d-1, nutrient composition was not unreasonable.Skinfold thickness decreased (16.70 ± 5.36) mm, and improved SGA score increased (19.05 ± 2.67) .Improved SGA score decreased after treatment.Conclusion In patients with chronic liver failure, there is insufficient energy intake, malnutrition.Improved SGA score to some extent can reflect malnutrition state of patients.
-
Key words:
- liver failure /
- nutrition assessment
-
[1]孟庆华, 刘娅.重型肝炎营养评价及营养支持治疗的研究进展[J].中华医学杂志, 2007, 87 (18) :1290-1292. [2]Wiles A, Woodward JM.Recent advances in the manage-ment of intestinal failure-associated liver disease[J].CurrOpin Clin Nutr Metab Care, 2009, 12 (3) :265-72. [3] 杨月欣.中国食物成分表[M].第二版.北京:北京大学医学出版社, 2011:6. [4]汤勃, 陈玉琪, 王慧芬.肝衰竭和失代偿期肝硬化患者肠外营养新理念[J].传染病信息, 2010, 23 (2) :111-115. [5]Cabral CM, Burns DL.Low-protein diets for hepatic en-cephalopathy debunked:let them eat steak[J].Nutr ClinPract, 2011, 26 (2) :155-159. [6]Ferreira LG, Anastácio LR, Lima AS, et al.Assessment ofnutritional status of patients waiting for liver transplantation[J].Clin Transplant, 2011, 25 (2) :248-254. [7]Keith JN.Bedside nutrition assessment past, present, and fu-ture:a review of the Subjective Global Assessment[J].NutrClin Pract, 2008, 23 (4) :410-416. -
本文二维码
计量
- 文章访问数: 3432
- HTML全文浏览量: 30
- PDF下载量: 792
- 被引次数: 0
下载:
