慢性肝衰竭患者基于营养风险等级的多学科营养管理

Multidisciplinary nutritional management based on nutritional risk levels for patients with chronic liver failure

目的探讨基于营养风险等级的多学科营养管理在慢性肝衰竭患者的应用效果。方法按入院时间顺序,纳入2020年4~8月的51例患者作为对照组,采用常规营养护理;2020年9月至2021年3月的52例作为干预组,实施基于营养风险等级的多学科营养管理方案。比较两组干预前后营养不良风险筛查评分、Child-Pugh评分和营养相关实验室检查指标、肝性脑病发生情况和半年内再住院次数。结果干预后,干预组营养不良风险筛查评分、血红蛋白、白蛋白、前白蛋白水平显著优于对照组,半年内再住院次数显著低于对照组(P<0.05,P<0.01)。结论基于营养风险等级的多学科营养管理方案能有效改善慢性肝衰竭患者的营养状态,降低患者半年内再住院次数。

Objective To explore the effect of multidisciplinary nutritional management based on nutritional risk levels for patients with chronic liver failure.Methods A total of 51 patients hospitalized during April through August 2020 were recruited as the control group,and 52 patients during September 2020 through March 2021 as the intervention group.The control group was given routine nutritional care,while the intervention group was subjected to a multidisciplinary nutritional management program based on nutritional risk levels.The malnutrition risk scores as measured by the Royal Free Hospital-Nutritional Prioritizing Tool(RFH-NPT),Child-Pugh scores and nutrition-related laboratory indicators before and after the intervention,incidence rate of hepatic encephalopathy,and counts of readmission within 6 months,were compared between the two groups.Results After intervention,the RFH-NPT scores,hemoglobin levels,albumin and pre-albumin levels in the intervention group were significantly higher,while the counts of readmission within 6 months were significantly lower,than those in the control group(P<0.05,P<0.01).Conclusion Multi-disciplinary nutritional management program based on nutritional risk level can effectively improve nutritional status of patients with chronic liver failure and reduce re-admission within six months.