重型肝炎患者个体化营养支持治疗生化指标改变分析

1、重型肝炎患者个体化营养支持治疗生化指标改变分析摘要 目的 探讨重型肝炎患者个体化营养支持治疗的 临 床效果。 方法 60 例被临床确诊为重症肝炎患者入院后对 其 营养状况采用综合性评价， 数字抽签随机分为治疗组和对 照组 各 30 例，治疗组在常规肝病综合治疗的根底上实施个 体化营 养支持治疗， 营养支持治疗方法依据患者个体化差异 采用肠内、 肠外二者相结合方式。对照组给予常规肝病综合 治疗，不给予 针对性营养支持治疗。检测患者营养支持治疗 前、后各项生化 指标的变化及出现并发症的情况。 结果 治 疗前两组患者均存 在不同程度营养不良， 治疗后所有患者营 养状况均不同程度改 善，重型肝炎患者在

2、营养支持治疗 4 周 后，生化指标 ? 著 改善，与对照组比拟，治疗组改善患者 肝功能效果更加显著。 结论 营养支持治疗重症肝炎有效， 营养支持过程中应遵循个 体化差异， 依据患者自身病情及疾 病开展过程制订合理恰当的 营养支持方案，配合肝病综合治 疗方法可取得满意疗效。 关键词 重症肝炎；个体化； 营养治疗；生化指标 中图分类号 R575.1 文献标识码 B 文章编号 1673-970116-0084-03Abstract Objective To investigate the clinical effect ofindividualized nutritional support tre

3、atment of severe hepatitis patients. Methods 60 patients with severe hepatitis underwent comprehensive evaluation of nutritional status after admission. These patients were randomly divided into a treatment group and a control group according to digital draws， with 30 cases in eachindividual differe

4、ncesgroup. The treatment group received individualized nutritional support treatment on the basis of comprehensive treatment of liver diseases. Enteral or parenteral nutrition were adopted according to individual differences of patients. The control group received the conventional comprehensive trea

5、tment of liver diseases without individualized nutritional support treatment. The change of biochemical indices before and after the nutritional support treatment and the occurrence of complications were recorded. Results The nutritional status of two groups who all were malnourished on admission im

6、proved in different levels after the treatment. The biochemical indices of patients who underwent nutritional support treatment for 4 weeks were significantly improvement. Compared with the control group the liver function in the treatment group improved more obviously. Conclusion Nutritional suppor

7、t treatment in severe hepatitis is effective. During the nutritional support treatment ， physicians should followwhich means making appropriate plans according to patients ' condition and the development process of diseases ， and coordinate the nutritional support treatment with the comprehensiv

8、e treatment of liver diseases so as to attain satisfactory effect.Key words Severe hepatitis ； Individualized ； Nutritional support treatment ； Biochemical indexes我国是肝炎高发地区，每年死于肝炎相关疾病者约 30 万， 其中局部是由重型肝炎 /肝衰竭导致的 1 。重型肝炎 /肝 衰 竭患者存在营养不良及营养供应缺乏的现象较普遍， 特别 是蛋 白质 -热能营养不良 2 ， 3。营养治疗是治疗重型肝炎 / 肝衰 竭非常重要的环节，通过合理安排饮食，使患者科学、