重型肝炎患者個(gè)體化營(yíng)養(yǎng)支持治療生化指標(biāo)改變分析

1、重型肝炎患者個(gè)體化營(yíng)養(yǎng)支持治療生化指標(biāo)改變分析摘要 目的 探討重型肝炎患者個(gè)體化營(yíng)養(yǎng)支持治療的 臨 床效果。 方法 60 例被臨床確診為重癥肝炎患者入院后對(duì) 其 營(yíng)養(yǎng)狀況采用綜合性評(píng)價(jià)， 數(shù)字抽簽隨機(jī)分為治療組和對(duì) 照組 各 30 例，治療組在常規(guī)肝病綜合治療的根底上實(shí)施個(gè) 體化營(yíng) 養(yǎng)支持治療， 營(yíng)養(yǎng)支持治療方法依據(jù)患者個(gè)體化差異 采用腸內(nèi)、 腸外二者相結(jié)合方式。對(duì)照組給予常規(guī)肝病綜合 治療，不給予 針對(duì)性營(yíng)養(yǎng)支持治療。檢測(cè)患者營(yíng)養(yǎng)支持治療 前、后各項(xiàng)生化 指標(biāo)的變化及出現(xiàn)并發(fā)癥的情況。 結(jié)果 治 療前兩組患者均存 在不同程度營(yíng)養(yǎng)不良， 治療后所有患者營(yíng) 養(yǎng)狀況均不同程度改 善，重型肝炎患者在

2、營(yíng)養(yǎng)支持治療 4 周 后，生化指標(biāo) ? 著 改善，與對(duì)照組比擬，治療組改善患者 肝功能效果更加顯著。 結(jié)論 營(yíng)養(yǎng)支持治療重癥肝炎有效， 營(yíng)養(yǎng)支持過(guò)程中應(yīng)遵循個(gè) 體化差異， 依據(jù)患者自身病情及疾 病開(kāi)展過(guò)程制訂合理恰當(dāng)?shù)?營(yíng)養(yǎng)支持方案，配合肝病綜合治 療方法可取得滿意療效。 關(guān)鍵詞 重癥肝炎；個(gè)體化； 營(yíng)養(yǎng)治療；生化指標(biāo) 中圖分類(lèi)號(hào) R575.1 文獻(xiàn)標(biāo)識(shí)碼 B 文章編號(hào) 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我國(guó)是肝炎高發(fā)地區(qū)，每年死于肝炎相關(guān)疾病者約 30 萬(wàn)， 其中局部是由重型肝炎 /肝衰竭導(dǎo)致的 1 。重型肝炎 /肝 衰 竭患者存在營(yíng)養(yǎng)不良及營(yíng)養(yǎng)供應(yīng)缺乏的現(xiàn)象較普遍， 特別 是蛋 白質(zhì) -熱能營(yíng)養(yǎng)不良 2 ， 3。營(yíng)養(yǎng)治療是治療重型肝炎 / 肝衰 竭非常重要的環(huán)節(jié)，通過(guò)合理安排飲食，使患者科學(xué)、