Añez M S, Zabala Navas R, Villegas R A, Chacón T, Briceño D, Minabolta M, Manosalva B, Mejías M, Molina Z, Gómez de Lúquez C
G E N. 1989 Oct-Dec;43(4):235-41.
Nutritional evaluation is required to treat patients with hepatic disease. A significant correlation was demonstrated between real body weights lean body mass (LMB) with arm muscular area (AMA) (P less than 0.001); LBM of patients with ascites Vs without ascites showed significant differences (P less than 0.02). No significant differences (P greater than 0.1) was demonstrated, when we used the AMA between patients with Vs without ascites. Albumin values showed slight depletion on 20%; 12% had moderate and 4% had very severe depletion, but 64% of patients had normal values. Albumin-transferrin showed very good correlation (P less than 0.001); but there was no correlation between albumin-AMA, transferrin-AMA, transferrin-MMM and albumin-MMM (P greater than 0.05). The lymphocytic count on 53.33% was normal, 37.67% showed light depletion and 9% had moderate; PPDs was greater than 10mm in 60.86%; normal in 17.36%, and not reactive in 21.75%. AMA is a real and ideal nutritional evaluation method, because it is able to correct the errors due to the presence of ascites.
治疗肝病患者需要进行营养评估。实际体重与瘦体重(LBM)和上臂肌肉面积(AMA)之间存在显著相关性(P<0.001);有腹水与无腹水患者的LBM存在显著差异(P<0.02)。当比较有腹水和无腹水患者的AMA时,未显示出显著差异(P>0.1)。白蛋白值显示20%有轻度缺乏;12%有中度缺乏,4%有重度缺乏,但64%的患者白蛋白值正常。白蛋白-转铁蛋白显示出很好的相关性(P<0.001);但白蛋白-AMA、转铁蛋白-AMA、转铁蛋白-中臂肌肉围(MMM)和白蛋白-MMM之间无相关性(P>0.05)。53.33%的淋巴细胞计数正常,37.67%有轻度缺乏,9%有中度缺乏;60.86%的结核菌素试验(PPD)大于10mm;17.36%正常,21.75%无反应。AMA是一种真实且理想的营养评估方法,因为它能够纠正因腹水存在而导致的误差。