首页|营养干预对酒精性肝硬化患者生存质量的影响

营养干预对酒精性肝硬化患者生存质量的影响

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目的 探讨营养干预对酒精性肝硬化患者生存质量的影响.方法 选取2017年8月~2023年9月首都医科大学附属北京佑安医院收治的91例酒精性肝硬化患者为研究对象,采用区组随机法将其分为3组,其中睡前加餐加上口服氨基酸胶囊(late evening snack add oral amino acid capsules,LES+OAA)组 31 例,睡前加餐(late evening snack,LES)组 32 例,对照组(仅戒酒者)28例.比较3组患者在基线、随访1个月、3个月、6个月4个时间点的肝功能及生存质量评分.结果 3组之间谷丙转氨酶(alanine aminotransferase,ALT)、谷草转氨酶(aspartate aminotransferase,AST)、总胆红素(total bilirubin,TBiL)及白蛋白(albu-min,ALB)比较,差异均无统计学意义(P>0.05).3组患者随访期内生存质量的4个领域评分,包括生理领域、心理领域、社会关系领域及环境领域评分均能得到明显改善(P<0.05).LES+OAA组及LES组生存质量评分改善更为明显(P<0.05),但LES+OAA组及LES组两组间差异无统计学意义(P>0.05).结论 营养干预有助于改善酒精性肝硬化患者的生存质量评分,酒精性肝硬化患者应长期坚持以睡前加餐为基础的营养干预治疗.
Effect of Nutritional Intervention on Quality of Life in Patients with Alcoholic Liver Cirrhosis
Objective To investigate the effect of nutritional intervention on the quality of life of patients with alcoholic liver cirrho-sis.Methods A total of 91 patients with alcoholic liver cirrhosis admitted to Beijing Youan Hospital,Capital Medical University from August 2017 to September 2023 were divided into three groups according block randomization,including 31 patients in the late evening snack add oral amino acid capsules(LES+OAA)group,32 patients in the late evening snack(LES)group and 28 patients in the control group(only abstainers).The liver function and quality of life scores of patients among the three groups were compared at baseline,1 month,3 months,and 6months of follow-up.Results There were no significant differences in alanine aminotransferase(ALT),aspar-tate aminotransferase(AST),total bilirubin(TBiL)and albumin(ALB)among the three groups(P>0.05).During the follow-up pe-riod,quality of life scores in four fields,including physiological field,psychological field,social relation field and environmental field,were significantly improved in three groups(P<0.05).The quality of life score of LES+OAA group and LES group improved more sig-nificantly(P<0.05),but there was no significant difference between LES+OAA group and LES group(P>0.05).Conclusion Nu-tritional intervention can improve the quality of life score of patients with alcoholic cirrhosis,and nutritional intervention based on LES should be adhered to for a long time.

Liver cirrhosisLate evening snackNutritionQuality of life

苏璇、赵娟、徐斌

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100069 首都医科大学附属北京佑安医院肝病中心二科

肝硬化 睡前加餐 营养 生存质量

2024

医学研究杂志
中国医学科学院

医学研究杂志

CSTPCD
影响因子:0.702
ISSN:1673-548X
年,卷(期):2024.53(12)