肝胆外科肝移植患者营养风险筛查及其营养治疗现状调查分析

Analysis of nutritional risk screening and nutritional support therapy in patients with liver transplantation

目的评估肝胆外科肝移植状态患者在住院期间的营养状况及其营养支持治疗的现状。方法收集200例肝胆外科2019年1—3月的住院患者资料,其中肝移植状态患者23例,采用指南推荐的NRS 2002评分法对200例患者入院及出院时的营养状况进行评估。结果200例肝胆外科住院患者中,有53例(26.5%)入院时存在营养不良风险,肝移植状态患者有10例(10/23),其中4例未给予营养支持治疗,6例给予营养治疗的患者中有3例疗程不足。出院时再评价200例患者中仍有24例(12.0%)患者存在营养不良风险,其中肝移植状态患者6例(6/23)。结论在肝移植状态的患者中,存在营养不良风险的比例较非肝移植患者高,肝移植状态患者的营养治疗较为复杂,临床需要准确判断患者营养的适应证,以助改善患者预后。

Objective To assess the nutritional status of patients with liver transplantation during hospitalization and to analyze their nutritional support programs.Methods A total number of 23 hospitalized patients with liver transplantation from January to March in 2019 were collected,their nutritional status was evaluated by using the NRS 2002 scoring method recommended by the guidelines.Results There were 53 cases(26.5%)of malnutrition risk in 200 patients,There were 10 cases(10/23)of liver transplantation recipients.Of these,4 cases were not given nutritional support,of the 6 patients who were given nutritional support,3 had inadequate treatment.A number of 31 cases(15.5%)of patients were still at risk of malnutrition at the time of discharge,6 cases(6/23)were patients with liver transplantation status.Conclusion In patients with liver transplantation,there is a higher risk of malnutrition.Clinicians need to accurately judge the indications of nutritional support therapy for patients in order to improve the prognosis of patients.