NUTRITIONAL SUPPORTS AND EVALUATION OF THEIR THERAPEUTIC EFFECTS ON SERIOUS CHRONIC HEPATITIS

Objective:To assess the nutritional status of patients with chronic serious hepatitis B, and the therapeutic effect of nutritional support on this kind of patients. Methods:143 patients received nutritional assessment by means of SGA immediately after admitted into hospital and were divided into three groups, A, B and C. Patients in group A were given both enteral and parenteral nutrition besides other therapeutics with medicines. Group B was given only parenteral nutrition, while group C was given only enteral nutrition. The liver function and nutritional status were monitered during the treatment period of 6 weeks. Results:More than 90% of patients suffered malnutrition from middle to severe degree. Nutritional support method in group A showed better effect on liver function(ALT, Tbil) and nutritional status(TP, TC) than those in group B and C. The excellent recovery rate in group A was higher than that in group B and C (P0.05). Conclusion:Most of the patients with chronic serious hepatitis have malnutrition. Enteral nutrition combined with parenteral nutrition showed the best effect on these patients, so that we should encourage patients to take more food if possible.