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1、·570·现代生物医学进展www.shengwuyixue.comProgressinModernBiomedicineVol.11NO.3FEB.201149例肝硬化患者营养不良的相关因素分析121△欧阳伟钢李广鹏周黎黎（1克拉玛依市中心医院消化科新疆克拉玛依834000；2石河子大学医学院新疆石河子832000）摘要目的：探讨肝硬化患者营养不良的相关因素。方法：已确诊49例肝硬化住院患者空腹测血常规、血生化、肝纤维化、血凝分析、微量元素测定、尿常规，及人体测量学指标：身高、体重(weight)、上臂围(Mid-u
2、pperarmcircumference，AC)、上臂肌围(Mid-upperarmmusclecircumference，AMC)、肱三头肌皮褶厚度(Tricepsskinfoldthickness,TSF)、髂骨上皮褶厚度（Iliumskinfoldthickness,ISF）、腓肠肌围((Gastrocnemiusmusclecircumference,GC)，计算体重指数(Bodymassindex，BMI)、Pignete指数、比胸围(RatioofChestcircumferenceandbodyHeig
3、ht,C/H)、Rohrer指数、Vervaeck指数等指标110项，采用主观全面营养评价法(Subjectiveglobalassessment,SGA)进行营养评估。结果：计量资料应用t检验、计数资料应用X2检验进行单因素分析，筛选出与肝硬化营养不良有关的因素26项，纳入Logistic回归向前逐步选择法（似然比）行多因素分析，GC、AC、ISF、阴离子间隙（AG）4项指标的降低与肝硬化患者营养不良的发生有关系。结论：在采用SGA法评估肝硬化患者营养状况时，应注意GC、AC、ISF及AG的变化。关键词：肝硬化；营
4、养不良；主观全面评价法中图分类号：R575.2文献标识码：A文章编号：1673-6273（2011）03-570-05CorrelationFactorsAnalysisofMalnutritionof49PatientswithHepatocirrhosisOUYANGWei-gang1,LIGuang-peng2,ZHOULi-li1△(1DigestivesystemdepartmentofCentralHospitalofKaramay,Karamay834000,China;2MedicalCollegeo
5、fShiheziUniversity,Shihezi832000,China)ABSTRACTObjective:ToinvestigatethecorrelationfactorsofpatientswithHepatocirrhosisandMalnutrition.Methods:49patientshavebeendiagnosedwithHepatocirrhosisinourhospital.Their110majorindicatorshavebeenmeasured,whichwerefastingb
6、lood,includingbloodanalysis,bloodbiochemistry,liverfibrosis,bloodclottingfunction,tumormarkers,traceelementsmeasured,urineanaly-sis,andanthropometricindicators,includesheight,weight,mid-upperarmcircumference(AC),mid-upperarmmusclecircumference(AMC),tricepsskinf
7、oldthickness(TSF),iliumskinfoldthickness(ISF),gastrocnemiuscircuit(GC),bodymassindex(BMI),pignetein-dex,theratioofchestcircumferenceandbodyheight(C/H),rohrerindex,vervaeckindexandsoon.Toassessedtheirnutritionalstatusbysubjectiveglobalassessment(SGA).Results:The
8、measurementdatawereanalyzedbyttest,andthecountdatawereanalyzedbyX2test.26selectedfactorsweresignificantlyrelationshipwithhepatocirrhosisandmalnutritionbysinglefactoranalysis
