肝移植受者营养评估与营养支持进展  

Progress on nutritional assessment and nutritional support for liver transplant recipients

作　　者：龚财芳 熊永福[2] 赵俊宇 游川[2] Gong Caifang;Xiong Yongfu;Zhao Junyu;You Chuan(Hepatobiliary Surgery,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,China;不详)

机构地区：[1]川北医学院附属医院肝胆外科,四川南充637000 [2]川北医学院肝胆胰肠疾病研究所

出　　处：《器官移植》2023年第6期905-912,共8页Organ Transplantation

基　　金：国家自然科学基金青年项目(82003147);南充市社科研究“十四五”规划项目(NC22C369、NC23C119)。

摘　　要：接受肝移植的终末期肝病患者常因原发病和移植相关因素发生营养不良,营养不良会导致患者的临床状况恶化,增加移植术后的并发症发生率、住院时间和费用,并降低其生存率。在肝移植各个阶段提供足够的营养支持至关重要,准确评估营养状况和及时干预是肝移植围手术期营养治疗的先决条件。本文就最新的营养风险筛查指标及评估工具,营养支持方式等肝移植围术期营养干预措施进行综述。加深对肝移植围手术期营养治疗的理解与认知,以期为改善肝移植受者的营养状况及预后提供借鉴。Patients with end-stage liver disease after liver transplantation constantly suffer from malnutrition due to primary diseases and transplantation-related factors.Malnutrition will worsen clinical condition of the patients,increase the incidence of complication,length of hospital stay and medical expense after transplantation,and lower the survival rate.Sufficient nutritional support at all stages of liver transplantation is of significance.Accurate assessment of nutritional status and timely intervention are prerequisites for perioperative nutritional treatment in liver transplantation.In this article,the latest nutritional risk screening indexes and evaluation tools,nutritional support methods and other perioperative nutritional intervention measures for liver transplantation were reviewed,aiming to deepen the understanding and cognition of perioperative nutritional therapy for liver transplantation and provide reference for improving nutritional status and clinical prognosis of liver transplant recipients.

关 键 词：肝移植 终末期肝病 营养评估 营养支持 肠内营养 支链氨基酸 营养风险筛查2002 预后营养指数 

分 类 号：R617[医药卫生—外科学] R151[医药卫生—临床医学]