CAJ | 학술논문

目的：评估终末期肝病患者营养风险，了解患者的普遍营养状态、相关危险因素，并探讨可能的干预措施。方法采用营养风险筛查（nutritional risk screening，NRS-2002）表，评估65例住院肝硬化患者的营养风险。结果营养风险分布男女性基本一致，高度风险均为70岁以上老年人，城区患者的营养风险明显低于农村地区患者，经济较好的患者存在营养风险的比例明显低于贫穷的患者；Child B/C级、存在中等以上胃肠道症状和并发感染均为营养风险的危险因素。结论对于终末期肝病患者，年龄、农村地区居住、贫穷、乙型肝炎、Child B/C级、伴胃肠道症状及并发感染，均会提高患者营养风险，而性别、教育程度则与营养风险的关系较弱。
목적：평고종말기간병환자영양풍험，료해환자적보편영양상태、상관위험인소，병탐토가능적간예조시。방법채용영양풍험사사（nutritional risk screening，NRS-2002）표，평고65례주원간경화환자적영양풍험。결과영양풍험분포남녀성기본일치，고도풍험균위70세이상노년인，성구환자적영양풍험명현저우농촌지구환자，경제교호적환자존재영양풍험적비례명현저우빈궁적환자；Child B/C급、존재중등이상위장도증상화병발감염균위영양풍험적위험인소。결론대우종말기간병환자，년령、농촌지구거주、빈궁、을형간염、Child B/C급、반위장도증상급병발감염，균회제고환자영양풍험，이성별、교육정도칙여영양풍험적관계교약。
Objective To understand the general nutrition state and related risk factors in patients with end-stage liver diseases by evaluating their nutritional risk. Methods Sixty-five liver cirrhosis in-patients were enrolled and evaluated the nutritional risk by using nutritional risk screening (NRS-2002 ).Results The nutritional risk was almost the same between male and female patients. High risk patients were all over 70 years old. Patients from urban area had lower nutrition risk than those from rural area. As expected,higher income meaned lower nutritional risk. Child-Pugh B/C, gastrointestinal symptoms and co-exist infections were nutritional risk factors. Conclusion For patients with end-stage liver disease,some factors would raise nutritional risk such as age,rural residence,poverty,hepatitis B infection,Child-Pugh B/C, gastrointestinal symptoms and infections. Gender and education had no obvious relationship with nutritional risk.