肝炎后肝硬化腹水病人的营养评价与血浆游离氨基酸分析

首都医科大学学报 ›› 1998, Vol. 19 ›› Issue (1): 54-56.

肝炎后肝硬化腹水病人的营养评价与血浆游离氨基酸分析

于树青¹, 郭雁宾¹, 孟代贤²

1. 北京佑安医院营养科;2. 北京回民医院

收稿日期:1997-03-15 修回日期:1900-01-01 出版日期:1998-01-15 发布日期:1998-01-15

Assessment of Nutritional Status and Determination of Free Amino Acid in Patients with Post Hepatitis Cirrhosis Ascites

Yu Shuqing¹, Guo Yanbin¹, Meng Daixian²

1. Department of Nutrition, Beijing Youan Hospital;2. Beijing Huimin Hospital

Received:1997-03-15 Revised:1900-01-01 Online:1998-01-15 Published:1998-01-15

摘要/Abstract

摘要： 对18例肝炎后肝硬化腹水(HLCA)病人进行了药物和膳食治疗前后的营养状态评价和血浆游离氨基酸(PFAA)测定.结果:治疗后三头肌皮褶厚度(TSF)、上臂肌围(MAMC)、部分必需氨基酸(EAA)和半必需氨基酸(CEAA)等均较治疗前显着升高(P<0.05,P<0.01),支链氨基酸与芳香氨基酸比值(BCAA/AAA)和TSF之间存在显着正相关.结果表明HLCA时营养不良更趋恶化以及营养膳食治疗的重要性;证实PFAA的含量水平能够反映病人的营养状态.

关键词: 肝炎后肝硬化腹水, 营养状态, 氨基酸

Abstract: The nutritional status and plasma free amino acid(PFAA)of 18 patients with post hepatitis cirrhosis ascites(HLCA)were assessed before and after the treatment with medication and diet. The result showed that triceps skinfold fat(TSF),mid arm muscle circumference(MAMC),the level of some essential amino acids(EAA)and conditioned essential amino acids(CEAA)were singificantaly increased after the treatment(P<0.01,P<0.05).There was a good correlation between the ratio of branched chain amino acid(BCAA)to aromatic amino acid(AAA)and TSF. It is suggested that ascites may worsen the nutritional status in post hepatitis cirrhosis and the complex treatment with diet is extremely important. It is confirmed that the level of PFAA can reflect the nutritional status of the patients.

Key words: post hepatitis cirrhosis ascites, nutritional status, amino acids

中图分类号:

R575.2

于树青;郭雁宾;孟代贤. 肝炎后肝硬化腹水病人的营养评价与血浆游离氨基酸分析[J]. 首都医科大学学报, 1998, 19(1): 54-56.

Yu Shuqing;Guo Yanbin;Meng Daixian. Assessment of Nutritional Status and Determination of Free Amino Acid in Patients with Post Hepatitis Cirrhosis Ascites[J]. Journal of Capital Medical University, 1998, 19(1): 54-56.

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