| Purpose Malnutrition at present is considered to be a serious complication of cirrhosis,has obvious correlation with patients with a higher mortality rate,in various stages of the disease in patients with cirrhosis in a certain extent,have the risk of malnutrition,early identification of this risk,clinical intervention at the same time,perhaps the improvement of the quality of life and prognosis in patients with liver cirrhosis is of great benefit.At present,there is no fixed indicator or assessment tool for accurate screening of patients with cirrhosis associated with malnutrition risk at home and abroad.The purpose of this study is to research different malnutrition risk screening tool for the diagnosis of malnutrition in patients with cirrhosis risk,mainly is the royal free hospital-nutritional prioritizing tool and nutritional risk screening 2002 two nutritional risk assessment tools exist in patients with cirrhosis of the liver of nutritional risk screening value,thus for the risk of malnutrition in patients with cirrhosis diagnosis worked out a convenient and both diagnostic rate and high standard,to need to take appropriate treatment for patients to provide evidence.Methods A total of 85 patients with cirrhosis admitted to the Third Affiliated Hospital of Anhui Medical University from November 2018 to June 2020 were selected as the research subjects.All patients were registered within the first day after admission for general information such as gender,age,height,weight,smoking and drinking history,previous disease history,surgical history,etc.Body mass index,triceps skinfold thickness,arm circumference and arm muscle circumference were calculated based on the results of related measurement indexes.At the same time,relevant laboratory indicators were collected,including albumin,hemoglobin,coagulation function,bilirubin value,etc.Complete corresponding abdominal imaging examination,at the same time,according to the Child-Pugh score to score into the group of patients,in the end can be divided into A,B and C3 level,for the 85 patients,we applied to the royal free hospital-nutritional prioritizing tool and nutritional risk screening 2002 investigation,statistical rating,finally determine each method the number of screening out the risk of malnutrition,comparing two screening tools characteristics and differences of the results,whether the correlation and analysis of traditional nutrition index results in two kinds of assessment tools in their respective characteristics.Results1.Use two assessment scale for patients with cirrhosis systematic analysis,each assessment tools can be divided the patients into two groups,including the royal free hospital-nutritional prioritizing tool can detect 56 people of the risk of malnutrition of its diagnostic rate was 65.88%,nutritional risk screening 2002 screening out of 46 people at risk of malnutrition,its diagnostic rate was 54.12%,the former higher detection rate than the latter(P = 0.000),the evaluation results of the two tools were correlated with age(both P values were 0.000);2.When using the royal free hospital-nutritional prioritizing tool and nutritional risk screening 2002 assessment,malnutrition risk increased as the Child-Pugh score increased(chi-square and P values were: ?2=10.555,P=0.005;?2 =6.038,P=0.049);3.The levels of albumin(P=0.000),triceps skin fold thickness(P= 0.004),arm muscle circumference(P=0.000)and hemoglobin(P=0.000)in patients with malnutrition risk were lower than those in patients without malnutrition risk when nutritional risk assessment was performed using the royal free hospital-nutritional prioritizing tool,body mass index is no significant difference between the two groups(P = 0.723),In addition,the results of the royal free hospital-nutritional prioritizing tool were correlated with other traditional indicators except body mass index(P < 0.05);When nutritional risk screening 2002 was used for nutritional risk assessment,the levels of albumin(P=0.001),triceps skinfold thickness(P=0.030),and arm muscle circumference(P=0.001)in patients at risk of malnutrition were lower than those in patients without risk of malnutrition,while there were no significant differences in hemoglobin(P=0.058)and body mass index(P=0.846)between the two groups,the results of nutritional risk screening 2002 were not correlated with hemoglobin and body mass index(P > 0.05);4.There is a certain consistency in the evaluation results of the two scales.Conclusion Both the royal free hospital-nutritional prioritizing tool and nutritional risk screening 2002 have good significance and consistency in the assessment of malnutrition risk in hospitalized patients with cirrhosis,but the former seems to have higher application value.Theroyal free hospital-nutritional prioritizing tool has a higher correlation with certain traditional nutrition assessments than Nutritional Risk Screening2002.As a result,the royal free hospital-nutritional prioritizing tool in the clinical work can be more accurate assessment of the occurrence of liver cirrhosis patients with nutritional risk,more simple,enabling clinicians to nutritional status in patients with early intervention,reduce the pain of disease for the patient outcomes,avoid the occurrence of complications,improve the quality of life of patients. |
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