摘要
探讨营养风险评估下的个体化饮食护理在乙肝肝硬化失代偿期患者中的应用效果。方法:对2018年10月-2020年10月收治的乙肝肝硬化失代偿期患者90例进行随机分组,各45例。对照组接受常规护理;试验组接受营养风险评估下的个体化饮食护理。比较两组血清白蛋白(ALB)含量、前白蛋白(PA)含量、转铁蛋白(TRF)含量、血清谷丙转氨酶(ALT)、总胆红素(TBIL)、凝血酶原时间(PT)水平、体重指数(BMI)变化情况、腹水发生率情况。结果:试验组干预后ALB含量、PA含量、TRF含量、BMI明显高于对照组,差异有统计学意义(P<0.05);试验组干预后ALT、TBIL水平明显低于对照组,PT水平显著短于对照组,并且腹水发生率明显低于对照组,差异有统计学意义(P<0.05)。结论:营养风险评估下的个体化饮食护理在乙肝肝硬化失代偿期患者中的应用具有良好的临床效果。
Objective:To explore the application effect of individualized dietary care under nutritional risk assessment in patients with decompensated hepatitis B cirrhosis.Methods:From October 2018 to October 2020,90 patients with decompensated hepatitis B cirrhosis were randomly divided into the two groups with 45 cases in each group.The control group received routine care;the trial group received individualized dietary care under the nutritional risk assessment.Serum albumin(ALB)content,prealbumin(PA)content,transferrin(TRF)content,serum glutamate alanase(ALT),total bilirubin(TBIL),prothrombin time(PT)levels,body mass index(BMI)and the incidence of ascites were compared between the two groups.Results:ALB content,PA content,TRF content and BMI in the trial group were significantly higher than that in the control group,the differences were statistically significant(P<0.05);ALT and TBIL levels,PT level and incidence of ascites rate in the trial group were significantly lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of individualized dietary care under nutritional risk assessment in patients with decompensated hepatitis B cirrhosis has a good clinical effect.
作者
庞丹丹
冯远贞
车雪英
Pang Dan-dan;Feng Yuan-zhen;Che Xue-ying(Department of Infections,Yangjiang Municipal Public Health Hospital,Yangjiang 529500,Guangdong Province,China)
出处
《中国社区医师》
2022年第2期115-117,共3页
Chinese Community Doctors
关键词
营养风险评估
个体化饮食护理
乙肝肝硬化失代偿期
Nutrition risk assessment
Individualized dietary care
Decompensated hepatitis B liver cirrhosis
