Abstract:

Nutritional therapy in patients with liver dystunction             CAI Chang-Jie . The Second Department of Critical Care Medicine, the First Affiliated Hospital of Sun Yat-sen University ,Guangzhou 510080, China
Abstract    The nutritional status of patients with liver dystunction is closely related to the severity of the disease. According to incomplete statistics, the clinical incidence of malnutrition in such patients is about 65%-100%. With the progress and development of modern society, as well as the influence of dietary structure, the characteristics and nutritional status of people suffering from liver dystunction have also undergone great changes. For example, obesity, diabetes and insulin resistance are all controversial and studied fields in the nutritional treatment of liver diseases. In addition, the international nutritional concept of end-stage liver disease complications, such as hepatic encephalopathy, refractory ascites and hepatorenal syndrome, has also changed in recent years. Finally, for the implementation of nutritional therapy for patients with liver dystunction, we advocate "reasonable choice is more important"! Specific Suggestions and Suggestions are also given for the implementation of individualized nutritional therapy.

Key words: liver dystunction, malnutrition, nutritional therapy

摘要：

肝功能不全病人的营养状况与其疾病的严重程度紧密相关。据不完全统计，临床上该类病人营养不良的发生率约为65%~100%。随着现代社会的进步和发展，以及膳食结构的影响，罹患肝功能不全的人群特点和营养状况也发生了很大的改变。比如肥胖、糖尿病和胰岛素抵抗等，都是目前在肝病营养治疗方面争议较大和研究较多的领域，此外，国际上针对终末期肝病并发症，如肝性脑病、难治性腹水和肝肾综合征的营养观念在近几年也发生了转变。对于肝功能不全病人的营养治疗实施途径上，提倡“选择合理更重要”！本文对其个体化营养治疗方案给出了具体的实施意见和建议。

关键词: 肝功能不全, 营养不良, 营养治疗