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酒精性和非酒精性肝硬化患者营养不良的评估

Assessment of malnutrition in alcoholic and non alcoholic cirrhotics.

作者信息

Narayanan L, Chawla Y, Bhalla A K, Sharma M, Dilawari J B

机构信息

Postgraduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Trop Gastroenterol. 1999 Jul-Sep;20(3):120-2.

Abstract

OBJECTIVE

To study the nutritional status in patients with chronic liver disease using anthropometric techniques.

METHODS

A total of 60 cirrhotic patients (30 Alcoholic (AC), 30 Non-alcoholic (NAC) and 30 control (CO) subjects were studied. Nutritional status was assessed using anthropometric measurements such as stature, body weight, body mass index, (BMI), skinfold thickness measurements and mid upper arm muscle circumference. Serum protein, serum albumin and globulin were measured.

RESULTS

The skinfold thicknesses were significantly lower in NAC group of patients. In contrast the AC group of patients showed significantly lower mid upper arm muscle circumference values. Both groups of cirrhotic patients showed significantly lower total serum protein and serum albumin levels.

CONCLUSION

Body fat is relatively more affected in NAC group of patients and muscle mass is more affected in AC group of patients.

摘要

目的

采用人体测量技术研究慢性肝病患者的营养状况。

方法

共研究了60例肝硬化患者(30例酒精性肝硬化患者(AC组)、30例非酒精性肝硬化患者(NAC组)和30例对照者(CO组))。采用身高、体重、体重指数(BMI)、皮褶厚度测量和上臂中部肌肉周长等人体测量指标评估营养状况。检测血清蛋白、血清白蛋白和球蛋白。

结果

NAC组患者的皮褶厚度显著降低。相比之下,AC组患者的上臂中部肌肉周长值显著降低。两组肝硬化患者的血清总蛋白和血清白蛋白水平均显著降低。

结论

NAC组患者的体脂受影响相对更大,而AC组患者的肌肉量受影响更大。

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