目录
中文摘要 (1)
英文摘要 (3)
英文缩写 (5)
研究论文 RFH-NPT在肝硬化患者营养风险筛查中的实用性的初步探讨
前言 (6)
材料与方法 (7)
结果 (11)
讨论 (18)
结论 (23)
参考文献 (23)
附录 (29)
大鲨鱼电影综述肝硬化患者营养状况及评价方法研究进展...................... (30)
防火知识宣传致谢 (40)
个人简历 (41)
RFH-NPT在肝硬化患者营养风险筛查中的实用性的初步探讨
摘要
目的：探讨皇家自由医院-营养优先排序工具RFH-NPT对我国肝硬化患者营养风险筛查的可行性，了解肝硬化患者营养风险发生情况并分析影响营养风险发生的相关因素。
方法：选取2019年6月至2019年12月就诊于我院消化内科并确诊为肝硬化的81例患者为研究对象，包括男性49例、女性32例，年龄范围为18-79岁，其中53例乙型病毒性肝炎患者，5例原发性胆汁性胆管炎患者，3例丙型病毒性肝炎患者，3例酒精性肝病患者，2例自身免疫性肝炎患者，1例肝豆状核变性患者，14例原因不明性肝硬化患者，收集患者基本信息、疾病诊断、临床转归、血清学指标、RFH-NPT评分等建立信息采集表。根据 RFH-NPT营养风险筛查评分的情况分为营养风险组和非营养风险
组，分析经RFH-NPT筛查的营养风险与临床结局之间的相关性，并将营养风险组的患者的病因、性别、年龄、血清学指标、肝功能Child-Pugh分级等指标与同期非营养风险组进行比较以发现影响肝硬化患者营养风险的因素，采用SPSS软件进行统计学分析。
结果：
1. 本研究收集了81例肝硬化患者，经RFH-NPT筛查的营养风险组有48例，非营养风险组有33例，营养风险的发生率为59.26%;
情的近义词2. 经RFH-NPT筛查的肝硬化患者营养风险组感染、肝性脑病的发生率分别为35.42%、22.92%，非营养风险组为9.09%、6.06%，两组之间存在统计学差异，P值分别为0.007，0.042；营养风险组的住院时长为11.50（7.80）天，非营养风险组为9.00（4.00）天，两组间存在统计学意义，P值为0.048;
3. 单因素分析显示经RFH-NPT筛查的肝硬化患者营养风险的发生率与老年、并发症程度、肝功能Child-Pugh分级、白蛋白水平、凝血酶原时间相关，P值均小于0.05。
结论：
1. RFH-NPT是一种适合我国肝硬化患者的营养风险筛查工具，其能
卖担架
帮助临床识别肝硬化患者的营养风险，简单易行，易于推广；
2. 肝硬化患者的营养风险发生率较高；
3．年龄≥60岁、并发症程度、肝功能Child-Pugh分级、白蛋白水平、凝血酶原时间是影响经RFH-NPT筛查的肝硬化患者的营养风险的相关因素，临床筛查营养风险时应警惕这些因素。
关键词：肝硬化，营养风险筛查，RFH-NPT
Preliminary study on the practicality of RFH-NPT in nutritional risk screening for patients with liver cirrhosis
ABSTRACT
Objective: To explore the feasibility of Royal Free Nutrition Evaluation Priority Tool (RFH-NPT) for the screening of nutritional risk in patients with liver cirrhosis in China, to understand the incidence of nutritional risk in patients with liver cirrhosis, and to analyze the relational factors affecting the occurrence of nutritional risk.
Methods:We collected 81 patients diagnod as liver cirrhosis who came from our hospital from June 2019 to December 2019.The patients who age rang from 18-79 years included 49 males and 32 females. According to the etiology, 53 cas of hepatitis B,3 cas of hepatitis C, 3 cas of
alcoholic liver dia, 2 cas of autoimmune liver dia, 5 cas of primary biliary cholangitis,1 ca of Wilson dia,14 cas of unexplained liver cirrhosis were included in this study. We collected basic information, diagnosis of the dia, clinical outcomes, rological indicators, RFH-NPT scores of the patients to establish an information collection form. We divided them into nutrition risk group and non-nutrition risk group bad on the RFH-NPT nutrition risk screening scores. We analyzed the correlation between nutritional risk screened by RFH-NPT and clinical outcomes. We compared the etiology, gender, age, rological index, and Child-Pugh classification of liver function in the nutritional risk group with the non-nutrition risk group in the same period to find the factors that affect the nutritional risk of patients with liver cirrhosis. SPSS software was ud for statistical analysis.
Results:
1. We collected 81 patients with cirrhosis. There were 48 patients in nutritional risk group screened by RFH-NPT and 33 non-nutritional risk group. The incidence of nutritional risk was 59.26%;
2. The incidence of infection and hepatic encephalopathy was 35.42% and 22.92% respectively in nutritional risk group screened by RFH-NPT
which was 9.09%、6.06% respectively in non-nutrition risk group. There were statistical differences between the two groups. The P value was 0.007 and 0.042 respectively; The length of hospitalization in the nutritional risk group was 11.50 (7.80) days, which was 9.00 (4.00) days in non-nutritional risk group. There was statistical significance between the two groups (P= 0.048);
3. Single factor analysis showed the incidence of nutritional risk was related to old age, degree of complications, liver function Child-Pugh classification, albumin level and prothrombin time. P value is less than 0.05.
Conclusion:
1. RFH-NPT is a suitable nutritional risk screening tool for patients with cirrhosis in China, which can help clinical doctor identify the nutritional risk of patients with cirrhosis. It is easy to apply and promote;
南辕北辙意思2. The incidence of nutritional risk in patients with cirrhosis screened by RFH-NPT is high;
3. The factors which affect nutritional risk screened by RFH-NPT include age 60 years or older, degree of complications, liver function Child-Pugh classification, albumin level and prothrombin time. We should pay attention to the factors in nutritional risk screening for patitents with cirrhosis.
泉标
Key Words: Cirrhosis, Nutritional risk screening, RFH-NPT物业培训班>会员充值活动方案
