肝病全营养粉治疗肝硬化失代偿期营养不良患者的疗效观察(1)
摘要:目的 观察应用肝病全营养粉,治疗肝硬化失代偿期营养不良患者的疗效观察。方法 160例患者分为应用肝病全营养粉组(A组80例),未应用肝病全营养粉组(B组80例),两组在入院前营养情况,与出院前比较,治疗30 d并发症减少比较,观察其疗效。结果 A组与B组在出院前比较,营养正常者差异有显著性(P<0.05),重度营养不良减少差异有显著性(P<0.05);治疗30 d,A组与B组比较,上消化道出血减少差异有显著性(P<0.05),肝昏迷减少差异有显著性(P<0.05)。结论 肝硬化失代偿期营养不良患者应用肝病全营养粉,能改善患者营养状况,减少并发症,提高患者生存质量,能有效地改善患者的预后。
关键词:肝病全营养粉;肝硬化失代偿期;营养不良
中图分类号:R575.2 文献标识码:A 文章编号:1006-1959(2017)23-0079-03
Effect of Total Nutrient Powder for Liver Cirrhosis on Malnutrition in Patients with Decompensated Cirrhosis
, 百拇医药
XU Feng1,2
(Department of Infectiouis,Department of Nutrition,Qianjiang Central Hospital,Qianjiang 433100,Hubei,China)
Abstract:Objective To observe the effect of liver disease nutritional powder,observation of treatment of decompensated liver cirrhosis patients with malnutrition.Methods 160 patients were divided into the application of liver disease nutritional powder group(group A,80 cases),liver disease without the use of nutritional powder group(group B,80 cases),two groups before admission of nutrition,compared with discharge before 30 days of treatment to reduce complications,the curative effect was observed.Results In the A group compared with B group before hospital discharge,there was significant difference between normal nutrition(P<0.05),severe malnutrition decreased significantly(P<0.05);30 d treatment,A group compared with B group,the difference of upper digestive tract hemorrhage decreased significantly(P<0.05),hepatic coma decreased significantly(P<0.05).Conclusion Decompensated liver cirrhosis patients with liver disease malnutrition nutritional powder,can improve the nutritional status of the patients,reduce the complications and improve the the quality of life of patients,can effectively improve the prognosis of the patients.
, 百拇医药
Key words:Total nutrient powder for liver disease;Decompensated cirrhosis;Malnutrition
我國是个肝病大国,中国人群乙肝表面抗原携带率为7.2%,约有9 300 万人携带HBV[1]。许多慢性肝炎患者处于肝硬化失代偿期阶段,由肝硬化引起的并发症如:上消化道出血、感染、肝昏迷等已被临床医生普遍重视,但对这类患者营养不良的治疗往往被忽视。2013年国际肝性脑病和氮质代谢学会(ISHEN)通过了《2013肝硬化患者肝性脑病营养共识》[2] 将肝病营养这个老问题再次推到临床和科研的前沿。我科对为2010年12月~2015年12月住院的160例患者膳食指导基础上,应用肝病全营养粉口服或鼻饲,发现能有效改善患者的营养状况,减少并发症的发生,现报告如下。
1资料与方法
1.1一般资料
选取2010年12月~2015年12月住院的160例患者,符合肝硬化失代偿期的诊断标准[3],将160例患者在合理膳食指导基础上,分为应用肝病全营养粉组(A组80例),未应用肝病全营养粉组(B组80例),两组患者入院后均行相同的内科治疗,评估营养状况,A组患者入院后应用肝病全营养粉口服或鼻饲,B组患者未应用肝病全营养粉,出院前两组患者再次评估营养状况;治疗30 d时观察并发症减少情况。上消化道出血者A组24例、B组22例,肝昏迷者A组8例、B组10例,感染者A组26例、B组24例,两组数据在年龄、性别、平均住院天数差异无统计学意义(P>0.05),资料具有可比性。, http://www.100md.com(许丰)
关键词:肝病全营养粉;肝硬化失代偿期;营养不良
中图分类号:R575.2 文献标识码:A 文章编号:1006-1959(2017)23-0079-03
Effect of Total Nutrient Powder for Liver Cirrhosis on Malnutrition in Patients with Decompensated Cirrhosis
, 百拇医药
XU Feng1,2
(Department of Infectiouis,Department of Nutrition,Qianjiang Central Hospital,Qianjiang 433100,Hubei,China)
Abstract:Objective To observe the effect of liver disease nutritional powder,observation of treatment of decompensated liver cirrhosis patients with malnutrition.Methods 160 patients were divided into the application of liver disease nutritional powder group(group A,80 cases),liver disease without the use of nutritional powder group(group B,80 cases),two groups before admission of nutrition,compared with discharge before 30 days of treatment to reduce complications,the curative effect was observed.Results In the A group compared with B group before hospital discharge,there was significant difference between normal nutrition(P<0.05),severe malnutrition decreased significantly(P<0.05);30 d treatment,A group compared with B group,the difference of upper digestive tract hemorrhage decreased significantly(P<0.05),hepatic coma decreased significantly(P<0.05).Conclusion Decompensated liver cirrhosis patients with liver disease malnutrition nutritional powder,can improve the nutritional status of the patients,reduce the complications and improve the the quality of life of patients,can effectively improve the prognosis of the patients.
, 百拇医药
Key words:Total nutrient powder for liver disease;Decompensated cirrhosis;Malnutrition
我國是个肝病大国,中国人群乙肝表面抗原携带率为7.2%,约有9 300 万人携带HBV[1]。许多慢性肝炎患者处于肝硬化失代偿期阶段,由肝硬化引起的并发症如:上消化道出血、感染、肝昏迷等已被临床医生普遍重视,但对这类患者营养不良的治疗往往被忽视。2013年国际肝性脑病和氮质代谢学会(ISHEN)通过了《2013肝硬化患者肝性脑病营养共识》[2] 将肝病营养这个老问题再次推到临床和科研的前沿。我科对为2010年12月~2015年12月住院的160例患者膳食指导基础上,应用肝病全营养粉口服或鼻饲,发现能有效改善患者的营养状况,减少并发症的发生,现报告如下。
1资料与方法
1.1一般资料
选取2010年12月~2015年12月住院的160例患者,符合肝硬化失代偿期的诊断标准[3],将160例患者在合理膳食指导基础上,分为应用肝病全营养粉组(A组80例),未应用肝病全营养粉组(B组80例),两组患者入院后均行相同的内科治疗,评估营养状况,A组患者入院后应用肝病全营养粉口服或鼻饲,B组患者未应用肝病全营养粉,出院前两组患者再次评估营养状况;治疗30 d时观察并发症减少情况。上消化道出血者A组24例、B组22例,肝昏迷者A组8例、B组10例,感染者A组26例、B组24例,两组数据在年龄、性别、平均住院天数差异无统计学意义(P>0.05),资料具有可比性。, http://www.100md.com(许丰)
参见:首页 > 医疗版 > 疾病专题 > 消化内科 > 肝胆疾病 > 肝硬化