肝硬化住院患者营养状况调查及与预后分析的临床分析word格式论文.docxVIP

2.3 老年肝硬化患者营养状况调查及与临床相关因素分析······························· 232.3.1老年肝硬化患者营养不良、营养风险发生率············································232.3.2老年肝硬化患者营养不良，营养不良风险与住院天数的关系················232.3.3老年肝硬化患者营养不良及营养风险与CTP分级、并发症关系242.3.4 老年肝硬化患者临床相关因素分析··························································· 242.4 三种量表评估失代偿肝硬化住院患者营养不良和营养风险一致性研究···· 253.讨论···················································································································· 274.结论···················································································································· 31参考文献··············································································································· 33个人简历··············································································································· 38致谢······················································································································· 39综述及参考文献····································································································41中英文缩略词表英文缩写SGA英文全称SubjectiveGlobalAssessment中文名称主观全面评估MNAMiniNutritionalAssessment简易营养评价法NRS2002NutritionalRiskScreen2002营养风险筛查2002CTP分级Child-Turcotte-PughCTP分级TSFTricepsSkinFold肱三头肌皮褶厚度BMIBodyMassIndex体重指数MACMiddleArmCircumference上臂围AMCArmMuscleCircumference上臂肌围CCCalfCircumference小腿围ALTGlutamatePyruvateTransaminase谷丙转氨酶ASTGlutamic-oxal(o)aceticTransaminase谷草转氨酶SBPSpontaneousBacterialPeritonitis自发性细菌性腹膜炎ALBAlbumin白蛋白PTProthrombinTime凝血酶原时间PBCPrimaryBiliaryCirrhosis原发性胆汁淤积性肝硬化TBTotalBilirubin总胆红素BUNBloodUreaNitrogen血尿素氮CrCreatinine肌酐HCCHepaticCellCancer肝细胞癌肝硬化住院患者营养状况调查及与预后分析的临床研究中文摘要目的1.调查失代偿期肝硬化住院患者营养不良的发生情况，分析肝硬化合并营养不良与各临床相关因素及预后的关系。2.通过观察主观全面评估（SGA）、简易营养评价法(MNA) 和营养风险筛查2002（NRS2002）判定的营养不良及营养风险与住院天数及临床不良预后间的关系，检验三个营养评估工具在筛查肝硬化失代偿期住院患者营养风险的临床价值为临床医生在入院初期有效筛选出需要营养治疗的肝硬化住院患者提供依据。方法前瞻性研究。采用SGA，MNA和NRS2000 对2009 年5 月至2010 年5 月入住安徽医科大学第一附属医院消化内科200 例失代偿期肝硬化患者进行营养不良评估和营养风险筛查，随访6 月预后，观察肝硬化营养不良、营养风险与CTP(Child-Turcotte-Pugh)分级、并