南昌地区390例住院肝病患者营养风险筛查

Analysis on nutritional risk screening results of 390 inpatients with liver disease in Nanchang

目的调查肝病医院住院患者营养风险状况，以及不同营养风险状况的临床结局。方法选取390例住院肝病患者，采用营养风险筛查2002（NRS2002）评估营养状况。结果肝病患者的营养风险总发生率为47．95％，其中重型肝炎患者的营养风险发生率为81．82％、肝硬化为75．79％、慢性肝炎为28．30％、急性肝炎为43．33％。重型肝炎患者营养风险发生率显著高于急性肝炎（P=0．013）和慢性肝炎患者（P=0．000）；肝硬化患者的营养风险发生率也显著高于急性肝炎（P=0．000）和慢性肝炎患者（P=0．000）。结论重型肝炎、肝硬化住院患者的营养风险比例高于慢性肝炎、急性肝炎住院患者。

Objective To investigate the nutritional risk incidence and clinical outcome in hospitalized patients with liver diseases. Methods The data of 390 cases of liver disease inpatients were studied. The nutritional status of the enrolled patients was assessed with Nutritional Risk Screening 2002. Results The total incidence of nu- tritional risk in the liver disease patients was 47.95%. The incidence was 81.82% in severe hepatitis patients, sig- nificantly higher that that in acute hepatitis patients （43.33%, P = 0. 013 ） and chronic hepatitis patients （28.30%, P =0. 000）. The incidence of nutritional risk was 75.79% in hepatic cirrhosis patients, also significantly higher than that in acute hepatitis patients （P = 0. 000） and chronic hepatitis patients （ P = 0. 000）. Conclusion Severe hepa- titis and hepatic cirrhosis patients may have higher nutritional risk than acute and chronic hepatitis patients.