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題 名 | 壞死後肝硬化病患的營養評估=Optimal Nutritional Indexes in Post-necrotic Liver Cirrhosis |
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作 者 | 黃淑俐; 陳子文; | 書刊名 | 中華民國營養學會雜誌 |
卷 期 | 21:2 1996.05[民85.05] |
頁 次 | 頁133-145 |
分類號 | 415.534 |
關鍵詞 | 壞死後肝硬化; 體位測量值; 白蛋白; 臨床徵狀; 飲食評估; Post-necrotic liver Cirrhosis; Anthropometric parameters; Albumin; Clinical signs and symptoms; Dietary intake; |
語 文 | 中文(Chinese) |
中文摘要 | 本研究以113名(84男,29女)壞死後肝硬化患者,進行營養狀況評估,研究結果顯示:體位測量值、白蛋白、臨床徵狀、飲食評估均隨著疾病嚴重程度加重而下降;男性45名無水份滯留者,上臂肌肉圍與白蛋白二者呈線性相關(P<0.01),女性無論水份滯留與否,體位測量值與白蛋白均無關。再比較10名男性壞死後肝硬化病患,目前與三個月後之營養狀況評估指標與疾病嚴重程度指標的變化情形。結果顯示:平常體重百分比、體重變化百分比無顯著差異;上臂圍變化有顯著差異(p<0.05),白蛋白變化無顯著差異,臨床徵狀與飲食評估有變壞的現象。疾病嚴重程度指標(膽紅素、凝血�t原時間)變化均無差異。營養評估指標中身體質量指數、平常體重百分比、體重變化百分比均受水份滯留的影響。但可由上臂圍顯著降低得知體組織明顯消耗;在臨床上對於壞死後肝硬化病患做營養狀況評估,因各項評估指標與疾病嚴重程度有密切的關係,白蛋白對無水份滯留的男性,仍可做為營養評估的參考指標;上臂體位測量值的變化不受水份滯留的影響,是一個變化較敏感的營養評估指標。 |
英文摘要 | One hundred and thirteen post-necrotic liver cirrhosis patients (84 males and 29 females) were studied to evaluate their nutrition status. The results revealedthat anthropometric parameters, albumin, clinical signs and symptoms, dietary intake decreased while degree of disease severity increased. Linear regressionanalysis also demonstrated that MAMC (midarm muscle circumference) was correlated significantly with serum albumin level only in male patients without water retention (p<0.01). Then, we compared the nutrition status and the degree ofliver disease severity in 10 male post-necrotic liver cirrhosis patients at firsthospital admission and 3 months later or more. Although serum concentration ofalbumin, bilirubin and prothrombin over time did not significantly change alonewith liver disease severity progression, clinical signs and symptoms increased,dietary intake decreased. BMI, Percent of usual body weight and percent ofbody weight change were influenced by water retention. MAC (mid arm circumference) decreased significantly (p<0.05) revealed obvious body mass depletion.Therefore, albumin is an adequate nutrition assessment parameter in male withoutwater retention, mid arm anthropometric parameters seem to be a sensitive nutritional index in post-necrotic liver cirrhosis patients. |
本系統中英文摘要資訊取自各篇刊載內容。