| 欧阳伟钢1 李广鹏2 周黎黎1△.49例肝硬化患者营养不良的相关因素分析[J].,2011,11(3):570-574 |
| 49例肝硬化患者营养不良的相关因素分析 |
| Correlation Factors Analysis of Malnutrition of 49 Patients withHepatocirrhosis |
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| DOI： |
| 中文关键词: 肝硬化 营养不良 主观全面评价法 |
| 英文关键词: Hepatocirrhosis Malnutrition SGA (Subjective global assessment) |
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| 中文摘要: |
| 目的：探讨肝硬化患者营养不良的相关因素。方法：已确诊49 例肝硬化住院患者空腹测血常规、血生化、肝纤维化、血凝分
析、微量元素测定、尿常规，及人体测量学指标：身高、体重(weight)、上臂围(Mid-upper arm circumference，AC)、上臂肌围(Mid-upper
arm muscle circumference，AMC)、肱三头肌皮褶厚度(Triceps skin fold thickness, TSF)、髂骨上皮褶厚度（Ilium skin fold thickness,
ISF）、腓肠肌围((Gastrocnemius muscle circumference, GC)，计算体重指数(Body mass index，BMI)、Pignete 指数、比胸围(Ratio of
Chest circumference and body Height, C/H)、Rohrer 指数、Vervaeck 指数等指标110 项，采用主观全面营养评价法(Subjective global
assessment, SGA)进行营养评估。结果：计量资料应用t检验、计数资料应用X2检验进行单因素分析，筛选出与肝硬化营养不良有
关的因素26 项，纳入Logistic 回归向前逐步选择法（似然比）行多因素分析，GC、AC、ISF、阴离子间隙（AG）4 项指标的降低与肝
硬化患者营养不良的发生有关系。结论：在采用SGA法评估肝硬化患者营养状况时，应注意GC、AC、ISF及AG的变化。 |
| 英文摘要: |
| Objective: To investigate the correlation factors of patients with Hepatocirrhosis and Malnutrition. Methods: 49 patients
have been diagnosed with Hepatocirrhosis in our hospital. Their 110 major indicators have been measured, which were fasting blood,
including blood analysis, blood biochemistry, liver fibrosis, blood clotting function, tumor markers, trace elements measured, urine analysis,
and anthropometric indicators, includes height, weight, mid-upper arm circumference (AC), mid-upper arm muscle circumference
(AMC), triceps skin fold thickness(TSF), ilium skin fold thickness(ISF), gastrocnemius circuit(GC), body mass index(BMI), pignete index,
the ratio of chest circumference and body height(C/H), rohrer index, vervaeck index and so on. To assessed their nutritional status by
subjective global assessment(SGA). Results: The measurement data were analyzed by t test, and the count data were analyzed by X2 test.
26 selected factors were significantly relationship with hepatocirrhosis and malnutrition by single factor analysis. The indices would be
analyzed by multiple logistic regression forward stepwise method (likelihood ratio) multivariate analysis. Selected GC, AC, ISF and anion
gap (AG) were significantly relationship with Hepatocirrhosis and malnutrition by multi-factor analysis. Conclusion: When estimate patients
with hepatocirrhosis's nutritional status using SGA, should pay more attention to changes of GC, AC, ISF and the AG. |
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