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生物电阻抗分析及其他方法在肝硬化患者营养状况评估中的综合综述

A Comprehensive Review of Bioelectrical Impedance Analysis and Other Methods in the Assessment of Nutritional Status in Patients with Liver Cirrhosis.

作者信息

Cichoż-Lach Halina, Michalak Agata

机构信息

Department of Gastroenterology, Medical University of Lublin, 20-094 Lublin, Poland.

出版信息

Gastroenterol Res Pract. 2017;2017:6765856. doi: 10.1155/2017/6765856. Epub 2017 Aug 13.

DOI:10.1155/2017/6765856
PMID:28894465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5574293/
Abstract

It is assumed that approximately 24-66% of patients with liver cirrhosis develop malnutrition. Numerous pathological processes lead to serious disorders of nutritional status in this group of patients. Malnutrition in the course of liver cirrhosis is associated with increased morbidity, complications, and low quality of life. Under these conditions, detection of malnutrition is of crucial importance. This review explores the complex mechanisms that lead to malnutrition in the course of liver cirrhosis and focuses on methods used in the assessment of nutritional status in cirrhotic patients. Among others, the role of bioelectrical impedance is highlighted. This noninvasive tool is promising and quite an accurate method of estimating body composition.

摘要

据推测,约24% - 66%的肝硬化患者会出现营养不良。众多病理过程导致这组患者的营养状况严重紊乱。肝硬化过程中的营养不良与发病率增加、并发症以及生活质量低下相关。在这些情况下,营养不良的检测至关重要。本综述探讨了导致肝硬化过程中营养不良的复杂机制,并着重介绍了用于评估肝硬化患者营养状况的方法。其中,生物电阻抗的作用得到了强调。这种非侵入性工具很有前景,是一种相当准确的估计身体成分的方法。

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本文引用的文献

1
Phase angle obtained by bioelectrical impedance analysis independently predicts mortality in patients with cirrhosis.通过生物电阻抗分析获得的相位角可独立预测肝硬化患者的死亡率。
World J Hepatol. 2017 Mar 8;9(7):401-408. doi: 10.4254/wjh.v9.i7.401.
2
A practical approach to nutritional screening and assessment in cirrhosis.肝硬化营养筛查和评估的实用方法。
Hepatology. 2017 Mar;65(3):1044-1057. doi: 10.1002/hep.29003. Epub 2017 Feb 6.
3
Development of a simple predictive model for decreased skeletal muscle mass in patients with compensated chronic liver disease.代偿期慢性肝病患者骨骼肌质量下降的简易预测模型的开发
Hepatol Res. 2017 Nov;47(12):1223-1234. doi: 10.1111/hepr.12857. Epub 2017 Jan 27.
4
Low phase angle is associated with the development of hepatic encephalopathy in patients with cirrhosis.低相位角与肝硬化患者肝性脑病的发生有关。
World J Gastroenterol. 2016 Dec 7;22(45):10064-10070. doi: 10.3748/wjg.v22.i45.10064.
5
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World J Hepatol. 2016 Oct 18;8(29):1205-1211. doi: 10.4254/wjh.v8.i29.1205.
6
Body composition assessed by dual-energy X-ray absorptiometry predicts early infectious complications after liver transplantation.通过双能X线吸收法评估的身体成分可预测肝移植后的早期感染性并发症。
J Hum Nutr Diet. 2017 Jun;30(3):284-291. doi: 10.1111/jhn.12417. Epub 2016 Oct 6.
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Arq Gastroenterol. 2016 Oct-Dec;53(4):250-256. doi: 10.1590/S0004-28032016000400008.
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Does protein energy malnutrition affect the outcome in Tunisian cirrhotic patients?蛋白质能量营养不良会影响突尼斯肝硬化患者的预后吗?
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