肝硬化患者的营养不良与管理

Malnutrition and management in patients with liver cirrhosis

肝脏是人体重要的代谢器官,营养不良是肝硬化的一种严重并发症,发生率为65%~90%,并与不良预后相关。肝硬化营养不良的病因是多因素的,诊断包括营养筛查和营养评定两部分。膳食干预、口服营养补充剂、微量营养素补充和支链氨基酸补充均有助于改善营养不良状态。

The liver is an important metabolic organ of the human body.Malnutrition is a serious complication of liver cirrhosis with an incidence of 65%-90%and is associated with poor prognosis.The etiology of malnutrition in liver cirrhosis is multifactorial.The diagnosis includes two parts:nutritional screening and nutritional assessment.Dietary intervention,oral nutritional supplements,micronutrient supplementation and branched chain amino acid supplementation are all helpful to improve malnutrition.