个体化营养支持在溃疡性结肠炎辅助治疗中的作用
Role of individualized nutritional support in adjuvant treatment of ulcerative colitis
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摘要: 目的 分析个体化营养支持对溃疡性结肠炎(UC)临床辅助治疗效果。 方法 回顾分析60例UC患者,均按常规UC临床治疗方式;给予个体化营养支持患者列入治疗组,其余列入对照组,评价两组营养状况的变化。 结果 治疗组病变程度较重,为复发型,累及全部结肠的患者所占比例较大,总蛋白和白蛋白水平显著低于对照组(P<0.05),而营养风险评价法(NRS2002)评分显著高于对照组(P<0.05)。对照组经单纯临床常规治疗后,BMI、总蛋白显著性降低,而治疗组在单纯临床治疗的同时经个性化营养治疗后BMI、总蛋白、白蛋白均显著性升高(P<0.05)。 结论 对病情较重UC患者应及时进行营养风险筛查,给予合理的营养支持,可改善其营养状态。Abstract: Objective To analyze the adjuvant therapeutic effect of individualized nutrition support on ulcerative colitis(UC). Methods Sixty UC patients who were retrospectively analyzed.The patients were divided into treatment group and control group and changes in their nutritional condition were assessed. Results The UC,a recurrent type,was severer in treatment group than in control group and the number of UC patients with their whole colon involved was greater than that of those with their partial colon involved.The total protein and albumin levels were significantly lower while the nutritional risk score(NRS) was significantly higher in treatment group than in control group(P<0.05).The BMI and total protein level were significantly lower in control group after routine clinical treatment than in treatment group after combined simple clinical and individualized nutritional support treatment(P<0.05). Conclusion Nutritional risks should be examined in patients with severe UC.Patients with severe UC should receive rational nutritional support which can improve their nutritional condition.