于兰, 崔立红, 荣加, 浦江, 王晓辉, 王少鑫, 黄泽平. 营养支持对溃疡性结肠炎患者的作用探讨[J]. 解放军医学院学报, 2017, 38(8): 753-755,760. DOI: 10.3969/j.issn.2095-5227.2017.08.012
引用本文: 于兰, 崔立红, 荣加, 浦江, 王晓辉, 王少鑫, 黄泽平. 营养支持对溃疡性结肠炎患者的作用探讨[J]. 解放军医学院学报, 2017, 38(8): 753-755,760. DOI: 10.3969/j.issn.2095-5227.2017.08.012
YU Lan, CUI Lihong, RONG Jia, PU Jiang, WANG Xiaohui, WANG Shaoxin, HUANG Zeping. Nutritional risk and nutritional support in patients with ulcerative colitis[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2017, 38(8): 753-755,760. DOI: 10.3969/j.issn.2095-5227.2017.08.012
Citation: YU Lan, CUI Lihong, RONG Jia, PU Jiang, WANG Xiaohui, WANG Shaoxin, HUANG Zeping. Nutritional risk and nutritional support in patients with ulcerative colitis[J]. ACADEMIC JOURNAL OF CHINESE PLA MEDICAL SCHOOL, 2017, 38(8): 753-755,760. DOI: 10.3969/j.issn.2095-5227.2017.08.012

营养支持对溃疡性结肠炎患者的作用探讨

Nutritional risk and nutritional support in patients with ulcerative colitis

  • 摘要: 目的 应用营养风险筛查2002(nutritional risk screening 2002,NRS2002)对溃疡性结肠炎患者的营养状况进行评估,探讨营养支持治疗对溃疡性结肠炎患者的作用。 方法 应用NRS2002对2014年2月- 2017年1月就诊于我科的148例溃疡性结肠炎患者进行营养风险评估,将有营养风险的54例(36.5%)患者随机分为两组,对照组给予常规临床治疗,治疗组除给予常规治疗外加用营养支持治疗,评价两组治疗前后营养学指标变化。 结果 治疗组的营养学指标较对照组显著升高:上臂围(26.1±3.8) mm vs (24.2±5.5) mm、肱三头肌皮褶厚度(13.0±4.4) mm vs (11.4±5.1) mm、手握力(34.1±3.3) kg vs (31.6±3.1) kg、白蛋白(41.5±4.1) g/L vs (38.8±4.2) g/L、前白蛋白(198.3±4.3) mg/L vs (179.9±5.1) mg/L,差异有统计学意义(P均< 0.05)。 结论 溃疡性结肠炎患者应及时进行营养风险筛查,营养支持治疗可改善患者的营养状况。

     

    Abstract: Objective To evaluate the nutritional status of patients with ulcerative colitis (UC) and the role of nutritional support in the treatment of UC. Methods A total of 148 patients with ulcerative colitis who were treated in our department from February 2014 to January 2017 were enrolled in this study. Nutritional risk screening (NRS2002) was used to assess the nutritional risk. Totally 54 patients who had nutritional risk were randomly divided into two groups, the control group was given routine clinical treatment, and the treatment group was given routine clinical treatment plus nutritional support treatment. Results Compared with control group, the nutritional indexes in the treatment group increased significantly: arm circumference (AC) (26.1±3.8) mm vs (24.2±5.5) mm, triceps skinfold thickness (TSF) (13.0±4.4) mm vs (11.4±5.1) mm, hand grip strength (HGS) (34.1±3.3) kg vs (31.6±3.1) kg, albumin (ALB) (41.5±4.1) g/L vs (38.8±4.2) g/L, prealbumin (PAB) (198.3±4.3) mg/L vs (179.9±5.1) mg/L (AllP< 0.05). Conclusion Nutritional risk screening should be carried out in patients with UC, and their nutritional status can be improved by nutritional support.

     

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