切换至 "中华医学电子期刊资源库"

中华肝脏外科手术学电子杂志 ›› 2023, Vol. 12 ›› Issue (03) : 356 -359. doi: 10.3877/cma.j.issn.2095-3232.2023.03.022

所属专题: 综述

综述

多房棘球蚴病患者营养评估及干预措施
朱青1, 马洁1, 戴尧1, 庞明泉1, 樊海宁1, 崔红元2,()   
  1. 1. 810000 西宁,青海大学附属医院肝胆胰外科
    2. 810000 西宁,青海大学附属医院肝胆胰外科;100730 北京医院肝胆外科
  • 收稿日期:2023-02-20 出版日期:2023-06-10
  • 通信作者: 崔红元
  • 基金资助:
    青海省科技成果转化专项项目(2020-SF-162)

Nutrition assessment and treatments for patients with Alveolar echinococcosis

Qing Zhu1, Jie Ma1, Yao Dai1   

  • Received:2023-02-20 Published:2023-06-10
引用本文:

朱青, 马洁, 戴尧, 庞明泉, 樊海宁, 崔红元. 多房棘球蚴病患者营养评估及干预措施[J]. 中华肝脏外科手术学电子杂志, 2023, 12(03): 356-359.

Qing Zhu, Jie Ma, Yao Dai. Nutrition assessment and treatments for patients with Alveolar echinococcosis[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(03): 356-359.

棘球蚴病是一种严重且广泛流行的人畜共患寄生虫病,主要由棘球蚴幼虫寄生在人体肝脏所致。目前感染人体的棘球蚴病主要分两型,即多房棘球蚴病(Alveolar echinococcosis,AE)和细粒棘球蚴病(Cystic echinococcosis,CE)。其中,AE比较特殊,作为好发于肝的慢性消耗性疾病,病变对肝脏和周围组织、器官的持续损伤压迫,影响消化,使患者出现营养不良的症状,如白蛋白减少和消瘦,可给患者造成严重的身体伤害和经济损失[1]。而营养不良会损害身体对手术和感染等压力事件的免疫抵抗力,还会损害身体器官和组织的功能,并影响患者的临床结局,比如增加手术后并发症发生率和死亡率,延长住院时间,增加医疗总费用等[2]。既往有研究显示,入院AE患者营养不良发生率高达17.8%~18%[3,4]。因此,深入了解AE患者营养不良发生的原因和机制,通过早期营养风险筛查和评估,及积极的干预措施可改善AE患者的临床结局和预后。

[1]
马豹, 邓勇, 王志鑫, 等. 泡型肝包虫病患者营养不良发生机制的初步探讨[J]. 临床肝胆病杂志, 2018, 34(1):204-206.
[2]
Liang X, Shu W, Linyong Z, et al. Preoperative nutritional evaluation of patients with hepatic alveolar echinococcosis[J]. PLoS One, 2020, 15(2):e0229396.
[3]
王灏. 141例肝泡型包虫病住院病例临床特征分析[D]. 西宁: 青海大学, 2013.
[4]
胡娇, 罗艳丽, 肖凤鸣, 等. 泡型肝包虫病患者营养不良的危险因素分析[J]. 解放军预防医学杂志, 2019, 37(4):9-10.
[5]
汪天平, 操治国. 中国棘球蚴病防控进展及其存在的问题[J].中国寄生虫学与寄生虫病杂志, 2018, 36(3):291-296.
[6]
Saengnipanthkul S, Chongviriyaphan N, Densupsoontorn N, et al. Hospital-acquired malnutrition in paediatric patients: a multicentre trial focusing on prevalence, risk factors, and impact on clinical outcomes[J]. Eur J Pediatr, 2021, 180(6):1761-1767.
[7]
Pereira MG, Carvalho C, Costa ECV, et al. Quality of life in chronic pain patients: illness- and wellness-focused coping as moderators[J]. Psych J, 2021, 10(2):283-294.
[8]
Zhang C, Wang J, G, et al. Hepatocyte proliferation/growth arrest balance in the liver of mice during E. multilocularis infection:a coordinated 3-stage course[J]. PLoS One, 2012, 7(1):e30127.
[9]
Anker MS, Landmesser U, von Haehling S, et al. Weight loss, malnutrition, and cachexia in COVID-19: facts and numbers[J].J Cachexia Sarcopenia Muscle, 2021, 12(1):9-13.
[10]
中华医学会肝病学分会, 中华医学会消化病学分会. 终末期肝病临床营养指南[J]. 临床肝胆病杂志, 2019, 35(6):1222-1230.
[11]
Tandon P, Low G, Mourtzakis M, et al. A model to identify sarcopenia in patients with cirrhosis[J]. Clin Gastroenterol Hepatol, 2016, 14(10):1473-1480, e3.
[12]
Tandon P, Raman M, Mourtzakis M, et al. A practical approach to nutritional screening and assessment in cirrhosis[J]. Hepatology, 2017, 65(3):1044-1057.
[13]
石汉平, 丛明华, 陈伟. 再论营养不良的三级诊断[J/CD]. 中国医学前沿杂志(电子版), 2020, 12(1):前插1, 1-7.
[14]
马豹. 不同营养评价方法对肝泡型包虫病患者的适用性研究[D]. 西宁: 青海大学, 2018.
[15]
Jensen GL, Cederholm T, Correia MITD, et al. GLIM criteria for the diagnosis of malnutrition: a consensus report from the global clinical nutrition community[J]. JPEN J Parenter Enteral Nutr, 2019, 43(1): 32-40.
[16]
Allard JP, Keller H, Gramlich L, et al. GLIM criteria has fair sensitivity and specificity for diagnosing malnutrition when using SGA as comparator[J]. Clin Nutr, 2020, 39(9):2771-2777.
[17]
Skeie E, Tangvik RJ, Nymo LS, et al. Weight loss and BMI criteria in GLIM's definition of malnutrition is associated with postoperative complications following abdominal resections-results from a National Quality Registry[J]. Clin Nutr, 2020, 39(5):1593-1599.
[18]
Schuetz P, Seres D, Lobo DN, et al. Management of disease-related malnutrition for patients being treated in hospital[J]. Lancet, 2021, 398(10314):1927-1938.
[19]
Nigatu YD, Gebreyesus SH, Allard JP, et al. The effect of malnutrition at admission on length of hospital stay among adult patients in developing country: a prospective cohort study[J]. Clin Nutr ESPEN, 2021(41):217-224.
[20]
Efthymiou A, Hersberger L, Reber E, et al. Nutritional risk is a predictor for long-term mortality: 5-year follow-up of the EFFORT trial[J]. Clin Nutr, 2021, 40(4):1546-1554.
[21]
Gomes F, Baumgartner A, Bounoure L, et al. Association of nutritional support with clinical outcomes among medical inpatients who are malnourished or at nutritional risk: an updated systematic review and meta-analysis[J]. JAMA Netw Open, 2019, 2(11): e1915138.
[22]
Correia MITD, Perman MI, Waitzberg DL. Hospital malnutrition in Latin America: a systematic review[J]. Clin Nutr, 2017, 36(4):958-967.
[23]
Ren B, Chen X, Lei P, et al. The relationship between preoperative systemic immune inflammation index and prognostic nutritional index and the prognosis of patients with alveolar hydatid disease[J]. Front Immunol, 2021(12):691364.
[24]
陈小彬, 袁加琪, 许召君, 等. 预后营养指数对肝泡型包虫病患者预后的预测价值[J]. 临床肝胆病杂志, 2021, 37(5):1147-1151.
[25]
崔红元, 朱明炜, 陈伟, 等. 中国老年住院患者营养状态的多中心调查研究[J]. 中华老年医学杂志, 2021, 40(3):364-369.
[26]
中国医师协会外科医师分会包虫病外科专业委员会. 肝两型包虫病诊断与治疗专家共识(2019版)[J]. 中华消化外科杂志, 2019, 18(8):711-721.
[27]
Lobo DN, Gianotti L, Adiamah A, et al. Perioperative nutrition: recommendations from the ESPEN expert group[J]. Clin Nutr, 2020, 39(11):3211-3227.
[28]
Plauth M, Bernal W, Dasarathy S, et al. ESPEN guideline on clinical nutrition in liver disease[J]. Clin Nutr, 2019, 38(2):485-521.
[29]
刘婧, 乔馨瑶, 石磊, 等. 2017~2019年肝病营养指南的质量评价及对比解读[J]. 中国循证医学杂志, 2020, 20(9):1083-1091.
[30]
Tsien CD, McCullough AJ, Dasarathy S. Late evening snack: exploiting a period of anabolic opportunity in cirrhosis[J].J Gastroenterol Hepatol, 2012, 27(3):430-441.
[31]
Puri P, Dhiman RK, Taneja S, et al. Nutrition in chronic liver disease: consensus statement of the Indian National Association for study of the liver[J]. J Clin Exp Hepatol, 2021, 11(1):97-143.
[32]
Koop AH, Mousa OY, Pham LE, et al. An argument for vitamin D, A, and zinc monitoring in cirrhosis[J]. Ann Hepatol, 2018, 17(6):920-932.
[33]
Chen T, Zuo X, Wang S, et al. The effect of vitamin D supplementation on the progression of fibrosis in patients with chronic liver disease: a protocol for a systematic review and meta-analysis[J]. Medicine, 2020, 99(19):e20296.
[34]
Moszak M, Szulińska M, Walczak-Gałęzewska M, et al. Nutritional approach targeting gut microbiota in NAFLD-to date[J]. Int J Environ Res Public Health, 2021, 18(4):1616.
[35]
Cao Q, Yu CB, Yang SG, et al. Effect of probiotic treatment on cirrhotic patients with minimal hepatic encephalopathy: a meta-analysis[J]. Hepatobiliary Pancreat Dis Int, 2018, 17(1):9-16.
[36]
Bischoff SC, Bernal W, Dasarathy S, et al. ESPEN practical guideline: clinical nutrition in liver disease[J]. Nutr Hosp, 2022, 39(2):434-472.
[37]
Reintam Blaser A, Starkopf J, Alhazzani W, et al. Early enteral nutrition in critically ill patients: ESICM clinical practice guidelines[J]. Intensive Care Med, 2017, 43(3):380-398.
[38]
Muscaritoli M, Arends J, Bachmann P, et al. ESPEN practical guideline: clinical nutrition in cancer[J]. Clin Nutr, 2021, 40(5): 2898-2913.
[1] 衣晓丽, 胡沙沙, 张彦. HER-2低表达对乳腺癌新辅助治疗疗效及预后的影响[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 340-346.
[2] 谭巧, 苏小涵, 侯令密, 黎君彦, 邓世山. 乳腺髓样癌的诊治进展[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 366-368.
[3] 杨小菁, 姜瑞瑞, 石玉香, 王静静, 李长天. 乳腺孤立性纤维性肿瘤一例[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 375-377.
[4] 张伟. 牙及牙槽外科:舒适治疗的先锋[J]. 中华口腔医学研究杂志(电子版), 2023, 17(06): 386-388.
[5] 彭旭, 邵永孚, 李铎, 邹瑞, 邢贞明. 结肠肝曲癌的诊断和外科治疗[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 108-110.
[6] 马伟强, 马斌林, 吴中语, 张莹. microRNA在三阴性乳腺癌进展中发挥的作用[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 111-114.
[7] 张海涛, 康婵娟, 翟静洁. 胰管支架置入治疗急性胆源性胰腺炎效果观察[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 654-657.
[8] 索郎多杰, 高红桥, 巴桑顿珠, 仁桑. 腹腔镜下不同术式治疗肝囊型包虫病的临床疗效分析[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 670-673.
[9] 杨雪, 张伟, 尚培中, 宋创业, 尚丹丹, 张蔚. 胆囊十二指肠瘘结石经瘘口排出后自愈一例报道[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 707-708.
[10] 杨瑞洲, 李国栋, 吴向阳. 腹股沟疝术后感染的治疗方法探讨[J]. 中华疝和腹壁外科杂志(电子版), 2023, 17(06): 715-719.
[11] 陆志峰, 周佳佳, 梁舒. 虚拟现实技术在治疗弱视中的临床应用研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 891-895.
[12] 李田, 徐洪, 刘和亮. 尘肺病的相关研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 900-905.
[13] 岳瑞雪, 孔令欣, 郝鑫, 杨进强, 韩猛, 崔国忠, 王建军, 张志生, 孔凡庭, 张维, 何文博, 李现桥, 周新平, 徐东宏, 胡崇珠. 乳腺癌HER2蛋白表达水平预测新辅助治疗疗效的真实世界研究[J]. 中华临床医师杂志(电子版), 2023, 17(07): 765-770.
[14] 符梅沙, 周玉华, 李慧, 薛春颜. 淋巴细胞免疫治疗对复发性流产患者外周血T淋巴细胞亚群分布与PD1/PD-L1表达的影响及意义[J]. 中华临床医师杂志(电子版), 2023, 17(06): 726-730.
[15] 李变, 王莉娜, 桑田, 李珊, 杜雪燕, 李春华, 张兴云, 管巧, 王颖, 冯琪, 蒙景雯. 亚低温技术治疗缺氧缺血性脑病新生儿的临床分析[J]. 中华临床医师杂志(电子版), 2023, 17(06): 639-643.
阅读次数
全文


摘要