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Liver cirrhosis is the end stage of chronic liver diseases with various complications, thereby imposing great burden to the patient's family and public health care. Abnormal nutritional status, mainly including malnutrition and overnutrition(overweight/obesity), are related to the occurrence of many chronic liver diseases, and have major impact on the progression and outcome of liver cirrhosis. Nutritional status of cirrhotic patients should be comprehensively assessed based on various factors, including underlying diseases, diet, clinical manifestations, and laboratory tests, etc. Cirrhotic patients with malnutrition should receive individualized nutritional support therapy in timely fashion, and those with overweight/obesity should undergo dietary intervention or physical activity to improve the quality of life and reduce the risk of death.
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肝硬化是慢性肝脏疾病的终末期阶段,可导致多种并发症,给患者家庭及社会造成沉重的负担。机体营养状态异常主要包括营养不良及营养过剩(超重/肥胖),与多种慢性肝脏疾病的发生密切相关,更可影响肝硬化患者的病情进展及预后。对肝硬化患者机体营养状态的评估可综合基础疾病、饮食状况、临床表现及实验室指标等多个方面进行。针对营养不良的肝硬化患者,应及时予以个体化营养支持治疗;针对超重/肥胖的患者,应进行饮食干预及运动管理,从而改善肝硬化患者的生活质量并降低病死率。
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殷悦,医学硕士,主要从事消化系统疾病诊治方面的研究
祁兴顺,医学博士,副主任医师,中华医学会消化病学分会第十一届委员会青年委员、肝胆疾病学组委员,辽宁省医学会消化病学分会第十届委员会委员,2019年辽宁省青年科技奖十大英才,入选2021年Elsevier中国高被引用学者。
杨永平,教授,主任医师,博士研究生导师,解放军总医院第五医学中心肝病医学部主任。中国研究型医院学会肝病专业委员会主任委员,中国肝炎基金会专家委员会理事,中华医学会北京分会肝病专业委员会副主任委员。牵头多项国家“十三·五”及“十二·五”重大专项课题,军队“十二·五”重点课题和北京市科委军民融合重点课题;享受国务院特殊津贴;获国家科技进步奖1项,北京市科学技术进步一等奖1项,军队科技进步二等奖6项。
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