摘要
目的:分析基于营养风险筛查的个性化营养方案应用于失代偿期乙肝肝硬化患者的效果。方法:选取笔者所在医院2019年12月-2020年6月收治的67例乙肝肝硬化失代偿期患者,根据随机数字表法分两组,对照组33例,观察组34例。对照组给予常规基础治疗,观察组在对照组基础上给予营养风险筛查联合个性化营养方案。对两组营养状态、肝功能水平及肠黏膜通透性水平进行比较。结果:治疗后两组TP、ALB及PA水平均高于治疗前,且观察组各指标均高于对照组,差异均有统计学意义(P<0.05)。治疗后两组ALT、AST、TBIL水平及肠黏膜通透性均低于治疗前,且观察组各指标均低于对照组,差异均有统计学意义(P<0.05)。结论:营养风险筛查联合个性化营养方案可有效提高失代偿期乙肝肝硬化患者的机体营养,改善肝功能水平,并可提升肠黏膜通透性水平。
Objective:To analyze the effect of individualized nutrition regimen based on nutritional risk screening in decompensated hepatitis B cirrhosis patients.Method:Sixty-seven patients with decompensated hepatitis B cirrhosis admitted to our hospital from December 2019 to June 2020 were selected and divided into two groups according to random number table method,with 33 cases in the control group and 34 cases in the observation group.The control group was given conventional basic treatment,and the observation group was given nutritional risk screening combined with individualized nutrition regimen on the basis of the control group.Nutritional status,liver function and intestinal mucosal permeability were compared between the two groups.Result:After treatment,the levels of TP,ALB and PA in both groups were higher than those before treatment,and the indexes in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After treatment,the levels of ALT,AST,TBIL and intestinal mucosal permeability in the two groups were lower than those before treatment,and the indexes in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Nutritional risk screening combined with individualized nutrition regimen can effectively improve the body nutrition of patients with decompensated hepatitis B cirrhosis,improve liver function,and increase intestinal mucosal permeability.
作者
罗美华
LUO Meihua(Military Hospital of the 73rd Group of the Chinese People’s Liberation Army,Xiamen 361001,China)
出处
《中外医学研究》
2021年第14期162-164,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
营养风险筛查
个性化营养方案
失代偿期乙肝肝硬化
营养状态
Nutritional risk screening
Individualized nutrition regimen
Decompensated hepatitis B cirrhosis
Nutritional status
