儿童胆汁淤积性肝病的营养管理

Nutritional management of cholestatic liver disease in children

胆汁淤积性肝病是中国儿童肝病住院的重要原因,极大地影响了患儿的营养状态和生长发育。胆汁淤积性肝病患儿多存在能量需求增多而摄入减少、营养物质消化吸收不良、代谢异常等营养问题,导致疾病进展以及并发症和病死率的增加,临床需重视其营养管理,合理选择营养支持治疗的途径、方式以及营养成分等,从而改善其营养状态及疾病预后。

Cholestatic liver disease is an important cause ofhospitalization in children with liver disease in China,whichseriously affect the nutritional status of these children andtheir growth and development.Many children with cholestaticliver disease have nutritional problems,such as increasedenergy demand,decreased intake,poor digestion andabsorption of nutrients and abnormal metabolism,which leadto disease progression,increased complications and mortality.In order to improve the nutritional status and prognosis,it isnecessary to pay more attention to the nutritional managementand to choose the proper way and composition of nutritionalsupport therapy.