论文部分内容阅读
目的:研究人体测量学指标在肝硬化病人营养风险评估中的作用。方法:收集339例肝硬化病人为肝硬化组,同期体检的50例健康志愿者为正常对照组。使用营养风险2002(NRS 2002)评分对入组者进行营养风险评估,同时测量身高、体重、肱三头肌皮皱厚度(TSF)、肩胛下皮皱厚度(SFT)、上臂围(AC)和手握力(HGS)等,根据所得数据计算体重指数(BMI)和上臂中部肌肉围(AMC)。使用t检验、皮尔森相关、二分类Logistic回归等统计方法。结果:两组AC、AMC、SFT和双手握力等指标差异均有显著性统计学意义(P<0.05)。有营养风险的肝硬化病人BMI、AC、TSF、AMC、SFT和HGS均明显低于无营养风险者,差异有显著性统计学意义(P<0.05)。并发症和AMC是肝硬化病人发生营养风险的危险因素,而BMI则是保护性因素。结论:1肝硬化病人有无营养风险者在人体测量学指标存在差异,其中AMC和BMI是病人存在营养风险的危险因素和保护性因素。2综合人体测量学、血生化检查和其他评估方法可以提高营养风险评估的准确率。
OBJECTIVE: To study the role of anthropometric indicators in nutritional risk assessment of patients with cirrhosis. Methods: A total of 339 patients with liver cirrhosis were enrolled in the study. Fifty healthy volunteers undergoing physical examinations during the same period were selected as normal control group. Nutritional risk was assessed using the Nutritional Risk 2002 (NRS 2002) score, and height, body weight, triceps skin fold thickness (TSF), subscapular thickness (SFT), upper arm circumference Hand grip (HGS), etc. The body mass index (BMI) and upper midarm muscle circumference (AMC) were calculated from the obtained data. Using t test, Pearson correlation, dichotomous Logistic regression and other statistical methods. Results: The differences of AC, AMC, SFT and two-handed grip between the two groups were statistically significant (P <0.05). Patients with nutritional risk of liver cirrhosis BMI, AC, TSF, AMC, SFT and HGS were significantly lower than those without nutritional risk, the difference was statistically significant (P <0.05). Complications and AMC are risk factors for nutritional risk in patients with cirrhosis, whereas BMI is a protective factor. Conclusions: 1 There are differences in anthropometry between patients with liver cirrhosis and those with nutritional risk. Among them, AMC and BMI are the risk factors and protective factors of nutrition risk. 2 Integrated anthropometry, blood biochemical tests and other assessment methods can improve the accuracy of nutritional risk assessment.