ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾 疾病预防与控制 Disease Prevention and Control 医学学术期刊 月刊
2026-07-016 预防医学研究 2026, 2(07): 61-64

营养支持护理干预对肝硬化腹水患者营养状态及并发症的影响

盱眙县中医院

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摘要

目的 探究个体化营养支持护理干预对肝硬化腹水患者营养状态及并发症的防控效果,为临床优化此类患者护理方案提供循证参考。方法 选取2024年1月至2026年3月本院收治的78例肝硬化腹水患者,男58例、女20例,随机分为两组,各39例。对照组采用常规护理,观察组叠加系统化、个体化营养支持护理,干预周期4周,对比两组患者营养指标、肝功能、并发症发生率及护理满意度。结果 干预后观察组体质量指数(BMI)、血清白蛋白、血红蛋白等营养指标及肝功能改善效果显著优于对照组,并发症发生率更低,护理满意度更高,组间差异均有统计学意义(P<0.05)。结论 个体化营养支持护理可有效改善肝硬化腹水患者营养失衡与肝功能损伤,降低并发症发生风险,提升护理服务质量,临床推广价值较高。

Abstract

Objective To explore the effect of individualized nutritional support nursing intervention on nutritional status and complication prevention in patients with cirrhotic ascites, so as to provide evidence-based reference for optimizing clinical nursing strategies for such patients. Methods 78 patients with cirrhotic ascites admitted to our hospital from January 2024 to March 2026 selected, including 58 males and 20 females. Patients were randomly divided into control group and observation group, with 39 cases in each group. The control group received routine nursing care, while the observation group was given systematic individualized nutritional support nursing on the basis of routine nursing. The intervention lasted for 4 weeks. Nutritional indicators, liver function indexes, incidence of complications and nursing satisfaction were compared between the two groups. Results After intervention, the improvement of body mass index(BMI), serum albumin, hemoglobin and liver function indexes in the observation group was significantly better than that in the control group. The incidence of complications was lower and nursing satisfaction was higher in the observation group. The differences between groups were statistically significant(P<0.05). Conclusion Individualized nutritional support nursing can effectively ameliorate nutritional imbalance and liver function injury in patients with cirrhotic ascites, reduce the risk of complications and improve nursing service quality, which is worthy of clinical promotion.

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[1]田明香.营养支持护理干预对肝硬化腹水患者营养状态及并发症的影响[J].疾病预防与控制,2026,2(07):61-64.