肝性脑病患者的营养支持治疗

Nutrition support therapy for patients with hepatic encephalopathy

肝性脑病是肝衰竭最常见的并发症之一,在住院患者中发病率高,而大多数肝性脑病患者存在不同程度的营养不良。近年来,越来越多的临床试验证实了营养支持治疗对肝性脑病的治疗是有益的,因此营养治疗正逐渐被得到重视。介绍了肝性脑病发生营养不良的机制,并对肝性脑病患者的营养评估和营养治疗方式进行了概述。

Hepatic encephalopathy is one of the most common complications of liver failure and has a high incidence in hospitalized patients. Most patients with hepatic encephalopathy have varying degrees of malnutrition. In recent years, more and more clinical trials have confirmed that the nutritional support therapy is beneficial to patients with hepatic eneephalopathy, and more attention has been paid to nutritional therapy. This paper introduces the pathogenesis of malnutrition in hepatic eneephalopathy, and reviews the methods for nutrition evaluation and nutritional therapy in patients with hepatic encephalopathy.