Khadka Dibas, Karki Binod, Thapa Suresh, Khanal Ajit, Shrestha Ramila, Bhandary Shital, Paudel Bidhan Nidhi
Department of Medicine, National Academy of Medical Sciences, Kathmandu, Nepal.
School of Public Health, Patan Academy of Medical Sciences, Lalitpur, Nepal.
JNMA J Nepal Med Assoc. 2019 Jul-Aug;57(218):229-233. doi: 10.31729/jnma.4533.
Cirrhosis of liver is a progressively deteriorating disease. Medical management consist of treatment and prevention of complications. Nutritional intervention to improve nutritional status of the malnourished patient has favorable impact on prognosis. Traditional measures of nutritional assessment like Body Mass Index and waist circumference are inaccurate. This study was conducted to study the prevalence of malnutrition in cirrhotic patients.
This was a descriptive cross-sectional study conducted at National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal. The study included 60 cirrhotic patients from outpatient department. Subjective Global Assessment was performed for all participants and level of malnutrition recorded. Height, weight, waist circumference, body mass index were measured and recorded.
Among the cirrhotic patients, malnutrition was detected in 46 (76.66%) [68.38 to 85.94 at Confidence Interval 95%]. Out of 46 patients who were malnourished, 20 (43.47%) had mild to moderate malnutrition whereas 26 (56.53%) had severe malnutrition. The most common cause of cirrhosis was alcohol. The mean body mass index and mean waist circumference were within normal limits.
Malnutrition is very common among cirrhotic patients and its prevalence increased from Child A to Child C status.
肝硬化是一种逐渐恶化的疾病。医学管理包括并发症的治疗和预防。营养干预以改善营养不良患者的营养状况对预后有积极影响。传统的营养评估指标如体重指数和腰围并不准确。本研究旨在探讨肝硬化患者中营养不良的患病率。
这是一项在尼泊尔加德满都比尔医院国家医学科学院进行的描述性横断面研究。该研究纳入了60名来自门诊的肝硬化患者。对所有参与者进行主观全面评定，并记录营养不良程度。测量并记录身高、体重、腰围、体重指数。
在肝硬化患者中，46例（76.66%）[95%置信区间为68.38%至85.94%]检测出营养不良。在46例营养不良患者中，20例（43.47%）为轻度至中度营养不良，26例（56.53%）为重度营养不良。肝硬化最常见的病因是酒精。平均体重指数和平均腰围在正常范围内。
营养不良在肝硬化患者中非常普遍，其患病率从Child A级到Child C级逐渐升高。
