肝硬化患者营养评价和营养支持的研究现状

The research status of nutrition assessment and nutritional support in patients with cirrhosis

能量-蛋白质能量营养不良是肝硬化常见的并发症之一,也是评价肝硬化患者预后的一个独立危险因素。肝硬化患者存在不同程度的营养不良,而长期营养不良又可加重肝硬化程度,通过选择可靠、有效的营养评价方法以发现患者的营养不良状态,及时给予恰当的营养支持有助于改善肝硬化患者的代谢异常和营养状况。但是,肝硬化的营养支持评价及营养支持治疗目前仍缺乏统一标准,且营养支持治疗是一个漫长过程,需长期坚持下去。本文就肝硬化患者营养评价和营养支持的研究现状作一概述。

Energy-protein malnutrition is one of the common complications of liver cirrhosis,and an independent risk factor for evaluating the prognosis of patients with liver cirrhosis. There is different degree of malnutrition in patients with cirrhosis,and long-term malnutrition can aggravate the degree of liver cirrhosis,by choosing a reliable and effective nutritional evaluation method to detect patients with malnutrition state,in a timely manner to give proper nutrition support contribute to the improvement of the metabolic abnormalities and nutritional status of patients with cirrhosis. But the evaluation of nutritional support and nutrition support treatment of cirrhosis is still a lack of unified standards,and nutritional support treatment is a long process,need to hold on for a long time. In this paper,the research status quo of nutrition assessment and nutritional support in patients with cirrhosis.