2015年上海市某医院肝胆胰疾病患者营养状况评价

Evaluation on nutritional status of patients with hepatobiliary and pancreatic diseases in a hospital of Shanghai in 2015

目的通过机体组成营养评价方法(BCA)对肝胆胰疾病住院患者进行营养状况评价,了解患者营养不良发生情况,为提出合理改善营养的方法提供依据。方法整群选取135例肝胆胰疾病住院患者,进行BCA营养评价、体格测量和实验室检查。结果 135例肝胆胰疾病患者的营养不良发生率为67.41%(91例),其中轻度营养不良14例,中度21例,重度56例。男性营养不良发生率(79.17%)高于女性(53.96%)。重度营养不良组患者年龄和肱三头肌皮褶厚度(TSF)均高于营养正常组,差异均有统计学意义(均P<0.05)。患者血清前清蛋白与年龄、体质指数、总蛋白、清蛋白、肌酐、淋巴细胞均呈显著相关(均P<0.05)。结论肝胆胰疾病患者的营养不良发生率高。早期给予营养治疗,可提高肝胆胰疾病患者的生活质量。

[Objective] To evaluate the nutritional status of inpatients with hepatobiliary and pancreatic diseases by using the Body Composition Assessment（BCA）, understand the occurrence of malnutrition, and provide the basis for reasonable and appropriate nutrition improvement methods. [Methods] BCA nutritional assessment, physical measurement and laboratory examination were performed in 135 hospitalized patients with hepatobiliary and pancreatic diseases, who were collected by the cluster sampling. [Results] The malnutrition rate in 135 patients with hepatobiliary and pancreatic diseases was 67.41%（91 cases）, including 14 cases of mild malnutrition, 21 cases of moderate malnutrition and 56 cases of severe malnutrition. The malnutrition rate in males（79.17%） was higher than that in females（53.96%）. The age and triceps skinfold（TSF） in severe malnutrition groups were higher than those in normal group, and the differences were statistically significant（both P〈0.05）. The serum prealbumin was significantly correlated with age, body mass index, total protein, albumin, creatinine and lymphocytes（all P〈0.05）. [Conclusion] The malnutrition rate in patients with hepatobiliary and pancreatic diseases is high. Early nutrition treatment can improve the quality of life of patients with hepatobiliary and pancreatic diseases.