终末期肝病患者营养风险调查和危险因素分析

目的评估终末期肝病患者营养风险,了解患者的普遍营养状态、相关危险因素,并探讨可能的干预措施。方法采用营养风险筛查(nutritional risk screening,NRS-2002)表,评估65例住院肝硬化患者的营养风险。结果营养风险分布男女性基本一致,高度风险均为70岁以上老年人,城区患者的营养风险明显低于农村地区患者,经济较好的患者存在营养风险的比例明显低于贫穷的患者;Child B/C级、存在中等以上胃肠道症状和并发感染均为营养风险的危险因素。结论对于终末期肝病患者,年龄、农村地区居住、贫穷、乙型肝炎、Child B/C级、伴胃肠道症状及并发感染,均会提高患者营养风险,而性别、教育程度则与营养风险的关系较弱。

Evaluation of nutritional risk and analysis of risk factors in patients with end-stage liver diseases

Objective To understand the general nutrition state and related risk factors in patients with end-stage liver diseases by evaluating their nutritional risk. Methods Sixty-five liver cirrhosis in-patients were enrolled and evaluated the nutritional risk by using nutritional risk screening （NRS-2002 ）.Results The nutritional risk was almost the same between male and female patients. High risk patients were all over 70 years old. Patients from urban area had lower nutrition risk than those from rural area. As expected,higher income meaned lower nutritional risk. Child-Pugh B/C, gastrointestinal symptoms and co-exist infections were nutritional risk factors. Conclusion For patients with end-stage liver disease,some factors would raise nutritional risk such as age,rural residence,poverty,hepatitis B infection,Child-Pugh B/C, gastrointestinal symptoms and infections. Gender and education had no obvious relationship with nutritional risk.